Montgomery Renal Center Llc.
NPI #1902801681 in Germantown, Maryland
Provider Information
- NPI Number
- 1902801681
- Entity Type
- Organization
- Organization Name
- Montgomery Renal Center Llc.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 17, 2005
- Last Updated
- May 25, 2011
Practice Location
- Address
- 12401 MIDDLEBROOK RD
- Address 2
- STE 160
- City
- Germantown
- State
- Maryland
- ZIP Code
- 20874-1523
- Phone
- (301) 540-6020
Authorized Official
- Name
- MR. ALEISTER CORTELING
- Title
- ADMINISTRATOR
- Phone
- (240) 361-0625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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