Organization Name: | NXSTAGE PITTSBURGH EAST, LLC |
NPI Number: | 1063817278 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY MURRAY (DIRECTOR OF OPERATIONS) |
Mailing Address: | 3623 William Penn Hwy Monroeville |
State: | PA US |
Postal Code: | 151462123 |
Phone Number: | 4122675550 |
Fax Number: | 4122675551 |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |