Organization
DIALYZE DIRECT CT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ROTHENBERG (MANAGER)
(732) 806-9968
Entity
Organization
Contact information
Practice address
600 BOND ST, BRIDGEPORT, CT 06610-2205
(732) 806-9990
Mailing address
1575 50TH ST, SUITE 401, BROOKLYN, NY 11219-3769
(732) 806-9968
(732) 806-9969
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
CT
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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