Organization
MWRDC OF ANNAPOLIS
Active
Other names
ANNAPOLIS DIALYSIS CENTER PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD DUDEK M.D. (PRESIDENT)
(301) 907-3939
Entity
Organization
Contact information
Practice address
1908 FOREST DR, ANNAPOLIS, MD 21401-4340
(410) 897-9854
Mailing address
4915 AUBURN AVE, SUITE 200, BETHESDA, MD 20814-2636
(301) 907-3939
(301) 656-3943
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0029010
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496601500
—
MD
01
—
CK8259
RAILROAD
—
Enumeration date
10/15/2007
Last updated
06/16/2008
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