DVA HEALTHCARE OF MASSACHUSETTS INC NPI 1184683047

NPI Information

DVA HEALTHCARE OF MASSACHUSETTS INC is an end-stage renal disease (esrd) treatment clinic center in Woburn, MA. DVA HEALTHCARE OF MASSACHUSETTS INC NPI is 1184683047. The provider is registered as an organization entity type.
The provider Is Doing Business As Woburn Dialysis.

The provider's business location address is:

23 WARREN AVE
WOBURN, MA
ZIP 01801-906
Phone: (781) 935-7700
Fax: (781) 933-7690

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 22D0871831 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 12/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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