OrganizationActive
Dva Healthcare of New London LLC
NPI 1679549273 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · New London, CT
Provider details
- NPI number
- 1679549273
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
- License
- 0255 (CT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5 Shaws Cv
Ste 100
New London, CT 06320-4974
Phone: (860) 701-1357
Fax: (860) 444-0802
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- New London Dialysis
- Doing business as
- New London Dialysis
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.