DVA HEALTHCARE RENAL CARE INC NPI 1700815487

NPI Information

DVA HEALTHCARE RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Hazlet, NJ. DVA HEALTHCARE RENAL CARE INC NPI is 1700815487. The provider is registered as an organization entity type.
The provider Is Doing Business As Holmdel Dialysis.

The provider's business location address is:

3053 STATE ROUTE 35
HAZLET, NJ
ZIP 07730-526
Phone: (732) 203-0321
Fax: (732) 203-0279

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 31D0652984 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 4/15/2021.

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:

Other Identifiers

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