Organization
DIALYSIS CENTER OF MOUNTAINSIDE LLC
Active
Other names
DIALYSIS CENTER OF EAST ORANGE
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
20 SUSSEX AVENUE, EAST ORANGE, NJ 07018-4228
(973) 266-1093
(973) 266-1094
Mailing address
20 SUSSEX AVENUE, EAST ORANGE, NJ 07018-4228
(973) 266-1093
(973) 266-1094
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
01/11/2023
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