Organization
UNICOI DIALYSIS LLC
Active
Other names
East Brunswick Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
629 CRANBURY RD, STE 101, EAST BRUNSWICK, NJ 08816-4096
(732) 238-1909
(732) 967-8173
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
—
0416380
—
NJ
Enumeration date
09/05/2013
Last updated
12/29/2023
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