Buckhorn Dialysis LLC
NPI #1689176141 in Irvington, New Jersey
Provider Information
- NPI Number
- 1689176141
- Entity Type
- Organization
- Organization Name
- Buckhorn Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 1, 2018
- Last Updated
- Apr 1, 2024
Practice Location
- Address
- 468 CHANCELLOR AVE
- Address 2
- STE WS-3
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-4001
- Phone
- (973) 373-0294
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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