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Prodigy Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Somerset, Pennsylvania
NPI 1811131790

Prodigy Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Johnstown, PA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Prodigy Dialysis practices in Somerset, PA. The NPI Number for Prodigy Dialysis is 1811131790 and holds a License No. MD042825E (Pennsylvania).

The current practice location address for Prodigy Dialysis is 211 Georgian Pl, Somerset, PA and can be reached out via phone at 814-443-1600 and via fax at 814-443-1601.

Location: 211 Georgian Pl, Somerset, PA, 15905-4146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811131790
Provider Name
Prodigy Dialysis
Credential
Provider Entity Type
Organization
Address
211 Georgian Pl, Somerset, PA, 15905-4146
Phone Number
814-443-1600
Fax Number
814-443-1601
Provider Enumeration Date
04/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
211 Georgian Pl
City
Somerset
State
Pennsylvania
Zip
15501-1610
Phone Number
814-443-1600
Fax Number
814-443-1601
person
Provider Business Mailing Address Details
Address
211 Georgian Pl
City
Somerset
State
Pennsylvania
Zip
15501-1610
Phone Number
814-443-1600
Fax Number
814-443-1601
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.
MD042825E (Pennsylvania)
Definition
Definition to come...
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