| NPI | 1578667341 | 
|---|---|
| Doing Business As | EAST RIVER PARK DIALYSIS CENTER | 
| Entity Type | Organization | 
| Authorized Contact | JAMES J. DIVITO Vice President 781-699-9000 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 
| Enumeration Date | 2006-09-12 | 
| Last Update Date | 2020-10-06 |