institution
Dva Healthcare Of Maryland Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Baltimore, Maryland
NPI 1023077328

Dva Healthcare Of Maryland Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MD and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Of Maryland Llc practices in Baltimore, MD. The NPI Number for Dva Healthcare Of Maryland Llc is 1023077328 and holds a License No. E2595 (Maryland).

The current practice location address for Dva Healthcare Of Maryland Llc is 920 E 25Th St, Baltimore, MD and can be reached out via phone at 410-235-1611 and via fax at 410-235-3721.

Location: 920 E 25Th St, Baltimore, MD, 37027-7569
institution
Provider Profile Details
NPI Number
1023077328
Provider Name
Dva Healthcare Of Maryland Llc
Credential
Provider Entity Type
Organization
Address
920 E 25Th St, Baltimore, MD, 37027-7569
Phone Number
410-235-1611
Fax Number
410-235-3721
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007727620014 05 PA
326000300 05 MD
institution
Provider Business Practice Location Address Details
Address
920 E 25Th St
City
State
Zip
21218-5503
Phone Number
410-235-1611
Fax Number
410-235-3721
person
Provider Business Mailing Address Details
Address
920 E 25Th St
City
State
Zip
21218-5503
Phone Number
410-235-1611
Fax Number
410-235-3721
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
E2595 (Maryland)
Definition
Definition to come...
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