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NXSTAGE BOSTON NORTH LLC NPI 1720481864


NPI Information

NPI: 1720481864
Provider Name: NXSTAGE BOSTON NORTH, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 22D2087433

Address:
107 AUDUBON RD
WAKEFIELD, MA
ZIP 01880
Phone: (781) 928-9277
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NXSTAGE BOSTON NORTH, LLC is an end-stage renal disease (esrd) treatment clinic center in Wakefield, MA. NXSTAGE BOSTON NORTH, LLC NPI is 1720481864. The provider is registered as an organization entity type.

The provider's business location address is:

107 AUDUBON RD
WAKEFIELD, MA
ZIP 01880-266
Phone: (781) 928-9277
Fax: (781) 928-9324

The provider's authorized official is Jeff Murray .
The authorized official title is Director Of Operations and has the following contact phone number (978) 530-4006.

The CLIA number assigned to this NPI record is 22D2087433 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2014 and was last updated on 10/3/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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