| Organization Name: | RENAL CENTER OF SEWELL, LLC |
| NPI Number: | 1043235948 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD CHATFIELD (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 660 Woodbury Glassboro Rd Timberline Shopping Center # 29 Sewell |
| State: | NJ US |
| Postal Code: | 080803738 |
| Phone Number: | 8564641172 |
| Fax Number: | 8564645281 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 03/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 007962 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |