| NPI | 1861877607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUCHETHA REDDY BADDAM Administrator 781-521-6224 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-08-10 |