| NPI | 1316022064 |
|---|---|
| Doing Business As | GODDARD BROCKTON KIDNEY CENTER |
| Entity Type | Organization |
| Authorized Contact | SHREEKANT CHOPRA President 781-341-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-02-26 |