| Organization Name: | CLINICAL THERAPEUTICS, LLC |
| NPI Number: | 1699984880 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOM F EGAN (PRESIDENT) |
| Mailing Address: | 130 Hilliards Rd Gibbsboro |
| State: | NJ US |
| Postal Code: | 080261331 |
| Phone Number: | 8569867960 |
| Fax Number: | 2159524202 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 28R101447800 |
| 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: | |