institution
The Kidney Center Of South Philadelphia Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Philadelphia, Pennsylvania
NPI 1982095626

The Kidney Center Of South Philadelphia Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Philadelphia, PA and is specialized in End-Stage Renal Disease (ESRD) Treatment. The Kidney Center Of South Philadelphia Llc practices in Philadelphia, PA. The NPI Number for The Kidney Center Of South Philadelphia Llc is 1982095626 and holds a License No. (Pennsylvania).

The current practice location address for The Kidney Center Of South Philadelphia Llc is 1930 S Broad St, Philadelphia, PA and can be reached out via phone at 215-463-3120 and via fax at 215-463-3107.

Location: 1930 S Broad St, Philadelphia, PA, 19145-2328
institution
Provider Profile Details
NPI Number
1982095626
Provider Name
The Kidney Center Of South Philadelphia Llc
Credential
Provider Entity Type
Organization
Address
1930 S Broad St, Philadelphia, PA, 19145-2328
Phone Number
215-463-3120
Fax Number
215-463-3107
Provider Enumeration Date
02/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1030464270001 05 PA
institution
Provider Business Practice Location Address Details
Address
1930 S Broad St
City
State
Zip
19145-2328
Phone Number
215-463-3120
Fax Number
215-463-3107
person
Provider Business Mailing Address Details
Address
1930 S Broad St
City
State
Zip
19145-2328
Phone Number
215-463-3120
Fax Number
215-463-3107
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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