Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Other names
Berlin Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
9952 N MAIN ST, BLDG #3, BERLIN, MD 21811-1049
(410) 641-1321
(410) 641-1538
Mailing address
5200 VIRGINIA WAY, L& C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2520
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001036134
—
DE
05
—
2125200
—
VA
05
—
473302900
—
MD
Enumeration date
03/23/2006
Last updated
09/10/2024
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