| NPI | 1164000881 |
|---|---|
| Doing Business As | FRESENIUS KIDNEY CARE WALDORF WEST |
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH DIVITO Vice President 781-699-9172 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |