NPI 1154910081

Dialyze Direct Wi, LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Pewaukee, WI

Practice location

Address: N25w23131 Paul Rd, Pewaukee, WI 53072-5762
Phone: (732) 806-9990
Mailing address: 3297 State Route 66, Neptune, NJ 07753-2762

Authorised official

Name: Joshua Rothenberg
Title: President
Phone: (732) 806-9990

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

Other Clinic/Center providers in Wisconsin →

Registry record

NPI: 1154910081
Entity type: Organization
NPI issued: 14 Jan 2021
Record last updated: 8 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.