Liberty Dialysis - Fairfield Llc

NPI 1073796421 - Clinic/Center - 261QE0700X

NPI Details
NPI 1073796421
Enumeration Date 12/07/2007
Last Updated 12/08/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RYAN B RYAN
Position VICE PRESIDENT
Phone (206) 236-5001
Fax
Practice Location
500 KINGS HWY
FAIRFIELD CT, 06825-4847, US
Phone (206) 236-5001
Fax
Business Location
7650 SE 27TH ST
SUITE 200
MERCER ISLAND WA, 98040-3060, US
Phone (206) 236-5001
Fax
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Liberty Dialysis - Fairfield Llc NPI is 1073796421, taxonomy code is 261QE0700X Liberty Dialysis - Fairfield Llc physically located at 500 Kings Hwy, Fairfield CT, 06825-4847. NPI Number 1033115704 has the healthcare provider type.

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1073796421 NPI number is provided on an as is basis without warranty of any kind. 1073796421 is maintained by the National Plan & Provider Enumeration System. The contents of Liberty Dialysis - Fairfield Llc are for informational purposes only.