BALTIMORE COUNTY DIALYSIS LLC NPI 1235590241

NPI Information

BALTIMORE COUNTY DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Baltimore, MD. BALTIMORE COUNTY DIALYSIS, LLC NPI is 1235590241. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Wolfe Street Pediatrics.

The provider's business location address is:

600 N WOLFE ST
PEDIATRICS - SUITE O-250
BALTIMORE, MD
ZIP 21287-005
Phone: (410) 502-2917
Fax: (410) 502-3638

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 21D2151742 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2016 and was last updated on 10/19/2023.

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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