Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
235 GEORGE ST, NEW BRUNSWICK, NJ 08901-1315
(732) 940-8368
(732) 940-0191
Mailing address
117 N CENTER DR, NORTH BRUNSWICK, NJ 08902-4910
(732) 940-4460
(732) 940-8368
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
41202
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6721001
—
AR
05
—
6721001
—
NJ
Enumeration date
07/08/2006
Last updated
07/30/2024
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