Prodigy Dialysis
NPI #1417191404 in Meyersdale, Pennsylvania
Provider Information
- NPI Number
- 1417191404
- Entity Type
- Organization
- Organization Name
- Prodigy Dialysis
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 22, 2009
- Last Updated
- Jan 10, 2014
Practice Location
- Address
- 25 CENTER ST
- City
- Meyersdale
- State
- Pennsylvania
- ZIP Code
- 15552-1101
- Phone
- (814) 634-7032
Authorized Official
- Name
- DR. GEORGE J FREM, MD
- Title
- CEO/MEDICAL DIRECTOR
- Phone
- (814) 539-0798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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