Organization
DIALYZE DIRECT MO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ROTHENBERG (COO)
(732) 806-9968
Entity
Organization
Contact information
Practice address
1918 INNERBELT BUSINESS CENTER DR, SAINT LOUIS, MO 63114-5760
(732) 806-9990
(732) 806-9969
Mailing address
1575 50TH ST, SUITE 401, BROOKLYN, NY 11219-3769
(732) 806-9990
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2017
Last updated
05/02/2022
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