Organization
NEPHROLOGY NURSING SERVICE INC.
Active
Other names
Girard Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA CLARK (ADMINISTRATOR)
(215) 787-2278
Entity
Organization
Contact information
Practice address
8TH ST. AT GIRARD AVE., 2ND FLOOR, PHILADELPHIA, PA 19122
(215) 787-2278
(215) 787-2171
Mailing address
8TH ST. & GIRARD AVENUE, 2ND FLOOR, PHILADELPHIA, PA 19122
(215) 787-2278
(215) 787-2171
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014611740002
—
PA
Enumeration date
07/11/2005
Last updated
07/21/2022
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