Prodigy Dialysis

NPI 1023065554 - Clinic/Center - 261QE0700X

NPI Details
NPI 1023065554
Enumeration Date 05/29/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GEORGE JOSEPH GEORGE
Position CEO & PRESIDENT
Phone (814) 539-0798
Fax (814) 536-4751
Practice Location
1111 FRANKLIN ST
SUITE 220
JOHNSTOWN PA, 15905-4330, US
Phone (814) 539-0798
Fax (814) 536-4751
Business Location
1111 FRANKLIN ST
SUITE 220
JOHNSTOWN PA, 15905-4330, US
Phone (814) 539-0798
Fax (814) 536-4751
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Prodigy Dialysis NPI is 1023065554, taxonomy code is 261QE0700X Prodigy Dialysis physically located at 1111 Franklin St, Johnstown PA, 15905-4330. NPI Number 1033115704 has the healthcare provider type.

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1023065554 NPI number is provided on an as is basis without warranty of any kind. 1023065554 is maintained by the National Plan & Provider Enumeration System. The contents of Prodigy Dialysis are for informational purposes only.