| NPI | 1285965103 |
|---|---|
| Other Name | RAI-MASONIC ST.-MILEN |
| Entity Type | Organization |
| Authorized Contact | MARK FAWCETT Tresurer 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2014-11-18 |