NPI | 1962604686 |
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Doing Business As | TEMPLE KIDNEY CENTER |
Entity Type | Organization |
Authorized Contact | MARK FAWCETT Treasurer 781-699-2668 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2007-06-04 |
Last Update Date | 2020-08-22 |