USRC PENNS GROVE LLC NPI 1366983819

NPI Information

USRC PENNS GROVE, LLC is an end-stage renal disease (esrd) treatment clinic center in Carneys Point, NJ. USRC PENNS GROVE, LLC NPI is 1366983819. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Penns Grove Dialysis.

The provider's business location address is:

1 COLLINS DR
CARNEYS POINT, NJ
ZIP 08069-640
Phone: (214) 736-2700
Fax: (214) 736-2733

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 31D2132934 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2017 and was last updated on 3/16/2017.

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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