Etowah Dialysis LLC
NPI #1033687413 in Tamaqua, Pennsylvania
Provider Information
- NPI Number
- 1033687413
- Entity Type
- Organization
- Organization Name
- Etowah Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Nov 5, 2018
- Last Updated
- Jan 6, 2025
Practice Location
- Address
- 1215 E BROAD ST
- Address 2
- STE 20
- City
- Tamaqua
- State
- Pennsylvania
- ZIP Code
- 18252-2229
- Phone
- (570) 668-3480
Authorized Official
- Name
- SAMUEL WEY
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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