NPI | 1134231947 |
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Doing Business As | FMC DIALYSIS SERVICES IRMO |
Entity Type | Organization |
Authorized Contact | MARK FAWCETT Treasurer 781-699-4397 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-08-29 |