RENAL TREATMENT CENTERS NORTHEAST INC is an end-stage renal disease (esrd) treatment clinic center in Philadelphia, PA. RENAL TREATMENT CENTERS NORTHEAST INC NPI is 1104095041. The provider is registered as an organization entity type.
The provider Is Doing Business As South Broad Street Dialysis.
The provider's business location address is:
1172 S BROAD ST
PHILADELPHIA, PA
ZIP 19146-142
Phone: (215) 875-6720
Fax: (215) 875-6721
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 39D1090639 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/25/2008 and was last updated on 6/17/2020.