| NPI | 1376740555 |
|---|---|
| Doing Business As | UNIVERSITY PHYSICIANS DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | BARRY L. BLANTON Vice President 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: KS NOT STATE REQUIRED) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-08-16 |