Organization
HOLY NAME HOME DIALYSIS CENTER, INC.
Active
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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