institution
Independent Dialysis Foundation, Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Prince Frederick, Maryland
NPI 1669480422

Independent Dialysis Foundation, Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Baltimore, MD and is specialized in End-Stage Renal Disease (ESRD) Treatment. Independent Dialysis Foundation, Inc practices in Prince Frederick, MD. The NPI Number for Independent Dialysis Foundation, Inc is 1669480422 and holds a License No. E2549R (Maryland).

The current practice location address for Independent Dialysis Foundation, Inc is 225 W Dares Beach Rd, Prince Frederick, MD and can be reached out via phone at 410-468-0900 and via fax at 410-468-0911.

Location: 225 W Dares Beach Rd, Prince Frederick, MD, 21201-1024
institution
Provider Profile Details
NPI Number
1669480422
Provider Name
Independent Dialysis Foundation, Inc
Credential
Provider Entity Type
Organization
Address
225 W Dares Beach Rd, Prince Frederick, MD, 21201-1024
Phone Number
410-468-0900
Fax Number
410-468-0911
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PS6 01 MD FEP
0005759000 05 WV
01689292 05 PA
590079-01 01 MD CAREFIRST
0125608 01 MD AETNA
21506 01 MD JAI MEDICAL
215143 01 MD MDIPA
0704865003 01 MD CIGNA
institution
Provider Business Practice Location Address Details
Address
225 W Dares Beach Rd
City
State
Zip
20678-3123
Phone Number
410-468-0900
Fax Number
410-468-0911
person
Provider Business Mailing Address Details
Address
225 W Dares Beach Rd
City
State
Zip
20678-3123
Phone Number
410-468-0900
Fax Number
410-468-0911
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
E2549R (Maryland)
Definition
Definition to come...
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