NPI | 1215018957 |
---|---|
Doing Business As | BMA WACO |
Entity Type | Organization |
Authorized Contact | MARK FAWCETT Treasurer 781-699-2668 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-10-18 |
Last Update Date | 2008-05-09 |