NPI | 1619994332 |
---|---|
Doing Business As | ANDERSON DIALYSIS CLINIC |
Entity Type | Organization |
Authorized Contact | MARK FAWCETT Treasurer 781-699-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SC ERD-105) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-08-29 |