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Dva Healthcare Of Maryland Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Frederick, Maryland
NPI 1023078466

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 Frederick, MD. The NPI Number for Dva Healthcare Of Maryland Llc is 1023078466 and holds a License No. E2598 (Maryland).

The current practice location address for Dva Healthcare Of Maryland Llc is 140 Thomas Johnson Dr, Frederick, MD and can be reached out via phone at 301-695-0900 and via fax at 301-695-2808.

Location: 140 Thomas Johnson Dr, Frederick, MD, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023078466
Provider Name
Dva Healthcare Of Maryland Llc
Credential
Provider Entity Type
Organization
Address
140 Thomas Johnson Dr, Frederick, MD, 37027-7569
Phone Number
301-695-0900
Fax Number
301-695-2808
Provider Enumeration Date
03/27/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007727620017 05 PA
408119600 05 MD
3810015779 05 WV
institution
Provider Business Practice Location Address Details
Address
140 Thomas Johnson Dr
City
Frederick
State
Maryland
Zip
21702-4475
Phone Number
301-695-0900
Fax Number
301-695-2808
person
Provider Business Mailing Address Details
Address
140 Thomas Johnson Dr
City
Frederick
State
Maryland
Zip
21702-4475
Phone Number
301-695-0900
Fax Number
301-695-2808
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
E2598 (Maryland)
Definition
Definition to come...
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