Organization
TOTAL RENAL CARE INC
Active
Other names
Fair Lawn 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
18-01 POLLITT DR, FAIR LAWN, NJ 07410-2813
(201) 796-3873
(201) 703-3543
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
24616
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316920
—
NJ
Enumeration date
07/20/2012
Last updated
06/23/2020
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