Organization
WOODBRIDGE DIALYSIS CENTER LLC
Active
Other names
Garden State Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
345 MAIN ST, WOODBRIDGE, NJ 07095-1214
(732) 855-2100
(732) 855-2101
Mailing address
345 MAIN ST, WOODBRIDGE, NJ 07095-1214
(732) 855-2100
(732) 855-2101
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
—
0451550
—
NJ
Enumeration date
06/17/2014
Last updated
01/13/2023
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