Organization
RENAL FOCUS ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (AUTHORIZED OFFICIAL)
(610) 644-8900
Entity
Organization
Contact information
Practice address
960 40TH ST, BROOKLYN, NY 11219
(718) 369-1444
Mailing address
40 VALLEY STREAM PKWY STE 100, MALVERN, PA 19355-1407
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
04/19/2023
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