Organization
TOTAL RENAL CARE INC
Active
Other names
Pennsauken Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
7024 KAIGHN AVE, PENNSAUKEN, NJ 08109-4417
(856) 486-1145
(856) 486-4338
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
—
0186333
—
NJ
Enumeration date
04/04/2008
Last updated
10/06/2023
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