Organization
ISD TRENTON LLC
Active
Parent organization
PHYSICIANS DIALYSIS LAWRENCEVILLE
Other names
Physicians Dialysis Lawrenceville
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS DIALYSIS LAWRENCEVILLE
Authorized official
MR. STEVEN JEGER (VP)
(305) 651-3261
Entity
Organization
Contact information
Practice address
1840 PRINCETON AVE, LAWRENCEVILLE, NJ 08648-4518
(609) 278-0999
Mailing address
19559 NE 10TH AVE, NORTH MIAMI BEACH, FL 33179-3501
(305) 651-3261
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
24287
NJ
Other
Enumeration date
11/04/2016
Last updated
03/26/2020
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