Organization
NORMAN VILLAGE KIDNEY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH SARVA CPA (PRESIDENT)
(718) 268-4933
Entity
Organization
Contact information
Practice address
515 N ARLINGTON AVE, EAST ORANGE, NJ 07017-4010
(973) 674-1918
(973) 403-8339
Mailing address
10917 72ND RD, SUITE 6-R, FOREST HILLS, NY 11375-5336
(718) 268-4933
(718) 575-3375
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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