Organization
HOLY NAME HOME DIALYSIS CENTER, INC.
Active
Other names
Holy Name Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RIGOLOSI (OWNER)
(201) 833-3223
Entity
Organization
Contact information
Practice address
222 CEDAR LN, SUITE 103, TEANECK, NJ 07666-4314
(201) 692-1379
(201) 692-7776
Mailing address
222 CEDAR LN, SUITE 103, TEANECK, NJ 07666-4314
(201) 692-1379
(201) 692-7776
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6542409
—
NJ
Enumeration date
04/03/2007
Last updated
08/22/2020
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