Belmont Court Dialysis Center INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Philadelphia, PA. Organization (NPI-2).
NPI number1821185166
StatusActive
Last updated in NPPESSep 4, 2007
Details
- NPI
- 1821185166
- Entity type
- Organization (NPI-2)
- Legal business name
- Belmont Court Dialysis Center INC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Sep 4, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | PA | Yes |
Practice location
2200 Michener St Ste 20-21Philadelphia, PA 19115-4374
Phone 215-676-8800 · Fax 215-676-4950
Mailing address
2500 Boulevard Of The GeneralsNortheast Campus
Norristown, PA 19403-3692
Phone 610-630-1515 · Fax 610-630-6839
Authorized official
Jennifer L Bamgbose
Billing Supervisor
61063015151
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