| NPI | 1972745016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FAWCETT VP, Treasurer 781-699-2668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |