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NPI Code Detail

MEDICARE: FRESENIUS MEDICAL CARE NORTHERN DELAWARE, LLC

MEDICARE: FRESENIUS MEDICAL CARE NORTHERN DELAWARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023564945
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESENIUS MEDICAL CARE NORTHERN DELAWARE, LLC
Provider Business Mailing Address
First Line : 104 SLEEPY HOLLOW DR
Second Line : STE 100
City : MIDDLETOWN
State : DE
Zip : 19709-5842
Country : US
Telephone Number : 302-449-1601
Fax Number : 302-449-3346
Provider Business Practice Location Address
First Line : 104 SLEEPY HOLLOW DR
Second Line : STE 100
City : MIDDLETOWN
State : DE
Zip : 19709-5842
Country : US
Telephone Number : 302-449-1601
Fax Number : 302-449-3346
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L. BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 08/31/2016
Last Update Date : 10/30/2024

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Directions to “FRESENIUS MEDICAL CARE NORTHERN DELAWARE, LLC ” Practice Location

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