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Organization

MARLTON DIALYSIS CENTER LLC

Active
Other names
Marlton 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
769 ROUTE 70 E, STE C100, MARLTON, NJ 08053-2361
(856) 797-7044
(856) 797-7049
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160750
NJ
Enumeration date
03/08/2007
Last updated
01/11/2023
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