RENAL CARE GROUP EAST INC. NPI 1750485538

NPI Information

RENAL CARE GROUP EAST, INC. is an end-stage renal disease (esrd) treatment clinic center in Philadelphia, PA. RENAL CARE GROUP EAST, INC. NPI is 1750485538. The provider is registered as an organization entity type.
The provider Is Doing Business As Rcg Mt Airy.

The provider's business location address is:

10 E MORELAND AVE
PHILADELPHIA, PA
ZIP 19118-562
Phone: (215) 381-0310
Fax: (215) 381-0320

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 39D0716730 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/26/2021.

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:

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