Organization
NEWARK RENAL CENTERS, LLC
Active
Other names
Hillside Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI L BURRIER R.N. (DIRECTOR)
(954) 474-7701
Entity
Organization
Contact information
Practice address
1529 N BROAD ST, HILLSIDE, NJ 07205-1603
(973) 474-1199
(973) 474-1198
Mailing address
7061 CYPRESS RD, SUITE 104, PLANTATION, FL 33317-2243
(954) 474-7701
(954) 474-7702
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121029
—
NJ
Enumeration date
07/19/2006
Last updated
02/11/2008
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