Organization
ISD RENAL INC
Active
Other names
Neshaminy Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
2 NESHAMINY INTERPLEX DR, STE 110, FEASTERVILLE TREVOSE, PA 19053-6963
(215) 245-6590
(215) 245-6595
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
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
—
102029010
—
PA
Enumeration date
06/15/2018
Last updated
03/31/2021
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