Capital Region Dialysis Clinic LLC

NPI #1902304371 in Landover, Maryland

Provider Information

NPI Number: 1902304371
Entity Type: Organization
Organization Name: Capital Region Dialysis Clinic LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jan 31, 2018
Last Updated: Jan 31, 2018

Practice Location

Address: 1051 BRIGHTSEAT ROAD
City: Landover
State: Maryland
ZIP Code: 20785
Phone: (410) 766-1995

Authorized Official

Name: BRIAN FINGLASS, CPA
Title: CFO
Phone: (410) 766-1995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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