NPI | 1912012766 |
---|---|
Doing Business As | MADERIA DIALYSIS CENTER |
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 |
Enumeration Date | 2006-08-20 |
Last Update Date | 2009-11-17 |