Organization
DIALYZE DIRECT TN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PAULL (GC/CCO)
(732) 806-9990
Entity
Organization
Contact information
Practice address
2600 THOUSAND OAKS BLVD STE 1400, MEMPHIS, TN 38118-2401
(732) 806-9990
Mailing address
3297 STATE ROUTE 66, NEPTUNE, NJ 07753-2762
(732) 806-9990
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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