DVA HEALTHCARE OF PENNSYLVANIA LLC is an end-stage renal disease (esrd) treatment clinic center in Philadelphia, PA. DVA HEALTHCARE OF PENNSYLVANIA LLC NPI is 1144282021. The provider is registered as an organization entity type.
The provider Is Doing Business As Market Street Dialysis.
The provider's business location address is:
3701 MARKET ST
STE 100
PHILADELPHIA, PA
ZIP 19104-503
Phone: (215) 387-2658
Fax: (215) 387-4134
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 39D1042645 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/5/2006 and was last updated on 8/11/2020.