DVA HEALTHCARE RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Bridgeport, CT. DVA HEALTHCARE RENAL CARE INC NPI is 1508831314. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridgeport Dialysis.
The provider's business location address is:
900 MADISON AVE
FL 1
BRIDGEPORT, CT
ZIP 06606-534
Phone: (203) 335-0191
Fax: (203) 382-0322
The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 07D0644752 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/23/2006 and was last updated on 8/16/2023.