| NPI | 1770232704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY BLANTON Regulatory Affairs Specialist 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |