Organization
CHOICE ONE RENAL CARE OF NEWARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM VALLE (MEMBER/MANAGER)
(610) 495-8900
Entity
Organization
Contact information
Practice address
65 S TERRACE AVE, NEWARK, OH 43055-1355
(740) 522-2955
(740) 522-2975
Mailing address
65 S TERRACE AVE, NEWARK, OH 43055-1355
(740) 522-2955
(740) 522-2975
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2008
Last updated
06/23/2009
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