Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Germantown Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
20111 CENTURY BLVD, STE C, GERMANTOWN, MD 20874-9165
(301) 540-4601
(301) 540-2908
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
E2638
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405423700
—
MD
Enumeration date
03/28/2006
Last updated
07/09/2025
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