Shining Star Dialysis INC
NPI #1598799439 in Brick, New Jersey
Provider Information
- NPI Number
- 1598799439
- Entity Type
- Organization
- Organization Name
- Shining Star Dialysis INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Jan 12, 2021
Practice Location
- Address
- 525 JACK MARTIN BLVD
- Address 2
- STE 200
- City
- Brick
- State
- New Jersey
- ZIP Code
- 08724-7737
- Phone
- (732) 836-9669
Authorized Official
- Name
- JOHN D WINSTEL
- Title
- CHIEF ACCOUNTING OFFICER
- Phone
- (253) 733-4501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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