Dva Healthcare Renal Care INC
NPI #1891755096 in Cottage City, Maryland
Provider Information
- NPI Number
- 1891755096
- Entity Type
- Organization
- Organization Name
- Dva Healthcare Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 23, 2006
- Last Updated
- Jul 11, 2007
Practice Location
- Address
- 3804 BLADENSBURG RD
- City
- Cottage City
- State
- Maryland
- ZIP Code
- 20722-1613
- Phone
- (301) 277-6310
Authorized Official
- Name
- THOMAS O USILTON JR.
- Title
- GROUP VICE PRESIDENT
- Phone
- (770) 541-7922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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