Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Easton Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
500 CADMUS LN STE 201, EASTON, MD 21601-4094
(410) 822-8659
(410) 822-5138
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2512
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911400900
—
MD
01
—
E2512
STATE LICENSE
MD
Enumeration date
03/27/2006
Last updated
04/14/2026
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