ST. RAPHAEL DIALYSIS CENTER PARTNERSHIP NPI 1235148941

NPI Information

ST. RAPHAEL DIALYSIS CENTER PARTNERSHIP is an end-stage renal disease (esrd) treatment clinic center in New Haven, CT. ST. RAPHAEL DIALYSIS CENTER PARTNERSHIP NPI is 1235148941. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Raphael Dialysis Center.

The provider's business location address is:

137 WATER ST
NEW HAVEN, CT
ZIP 06511-756
Phone: (203) 772-2421
Fax: (203) 772-2471

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 07D0960559 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 10/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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