DVA HEALTHCARE OF MASSACHUSETTS INC. NPI 1295794121

NPI Information

DVA HEALTHCARE OF MASSACHUSETTS, INC. is an end-stage renal disease (esrd) treatment clinic center in Boston, MA. DVA HEALTHCARE OF MASSACHUSETTS, INC. NPI is 1295794121. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookline Dialysis.

The provider's business location address is:

330 BROOKLINE AVE
BUILDING GZ-5
BOSTON, MA
ZIP 02215-400
Phone: (617) 667-3211
Fax: (617) 667-7649

The provider's authorized official is Thomas O Usilton .
The authorized official title is Group Vice President and has the following contact phone number (770) 541-7922.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 8/22/2020.

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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