| NPI | 1770773939 |
|---|---|
| Doing Business As | CAPITOL DIALYSIS NORTHEAST |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T FORD Chairman 978-922-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |