Organization
WESTERN MARYLAND PERITONEAL DIALYSIS, LLC
Active
Organization
WESTERN MARYLAND PERITONEAL DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY S REPAC (SR VP CFO)
(301) 723-6414
Entity
Organization
Contact information
Practice address
600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
(301) 723-4031
(301) 723-1480
Mailing address
600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
(301) 723-4031
(301) 723-1480
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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