| NPI | 1962604686 | 
|---|---|
| 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 |