| NPI | 1740822899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH DIVITO VP 781-699-9172 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |