Organization
EZ DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE PETERMAN RN (MANAGING DIRECTOR)
(216) 375-6604
Entity
Organization
Contact information
Practice address
22 ALPHA PARK, CLEVELAND, OH 44143-2208
(216) 375-6604
Mailing address
22 ALPHA PARK, CLEVELAND, OH 44143-2208
(216) 375-6604
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
RN.337746
OH
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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