Organization
CAPITAL REGION DIALYSIS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FINGLASS CPA (CFO)
(410) 766-1995
Entity
Organization
Contact information
Practice address
1051 BRIGHTSEAT ROAD, LANDOVER, MD 20785
(410) 766-1995
Mailing address
8028 RITCHIE HWY STE 210, PASADENA, MD 21122-1075
(410) 766-1995
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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