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Dva Healthcare Of Norwich Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Norwich, Connecticut
NPI 1255307039

Dva Healthcare Of Norwich Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CT and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Of Norwich Llc practices in Norwich, CT. The NPI Number for Dva Healthcare Of Norwich Llc is 1255307039 and holds a License No. 0279 (Connecticut).

The current practice location address for Dva Healthcare Of Norwich Llc is 113 Salem Tpke Ste 4, Norwich, CT and can be reached out via phone at 860-800-6388 and via fax at 860-800-6425.

Location: 113 Salem Tpke Ste 4, Norwich, CT, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255307039
Provider Name
Dva Healthcare Of Norwich Llc
Credential
Provider Entity Type
Organization
Address
113 Salem Tpke Ste 4, Norwich, CT, 37027-7569
Phone Number
860-800-6388
Fax Number
860-800-6425
Provider Enumeration Date
02/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004206620 05 CT
institution
Provider Business Practice Location Address Details
Address
113 Salem Tpke Ste 4
City
Norwich
State
Connecticut
Zip
06360-6484
Phone Number
860-800-6388
Fax Number
860-800-6425
person
Provider Business Mailing Address Details
Address
113 Salem Tpke Ste 4
City
Norwich
State
Connecticut
Zip
06360-6484
Phone Number
860-800-6388
Fax Number
860-800-6425
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.
0279 (Connecticut)
Definition
Definition to come...
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