ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Philadelphia, PA. ISD RENAL INC NPI is 1235795204. The provider is registered as an organization entity type.
The provider Is Doing Business As Cedar Grove Dialysis.
The provider's business location address is:
4952 PARKSIDE AVE
PHILADELPHIA, PA
ZIP 19131-746
Phone: (215) 871-0810
Fax: (215) 871-0817
The provider's authorized official is Samuel Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 39D2167916 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/15/2019 and was last updated on 2/8/2024.