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Fresenius Medical Care Bridgeton, LLC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Bridgeton, NJ. Organization (NPI-2).

NPI number1962064758
StatusActive
Last updated in NPPESSep 1, 2021

Details

NPI
1962064758
Entity type
Organization (NPI-2)
Legal business name
Fresenius Medical Care Bridgeton, LLC
Organization subpart
Yes
Enumeration date
Jul 2, 2019
Certification date
Sep 1, 2021
Last updated
Sep 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Other names

  • Fresenius Kidney Care Bridgeton (Doing Business As)

Practice location

12 Cornwell Dr
Bridgeton, NJ 08302-3633

Phone 856-453-4464 · Fax 856-453-4467

Mailing address

12 Cornwell Dr
Bridgeton, NJ 08302-3633

Phone 856-453-4464 · Fax 856-453-4467

Authorized official

Barry L. Blanton
Vice President
7816999000

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