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PERSONAL DIALYSIS INC. NPI 1902907652


NPI Information

NPI: 1902907652
Provider Name: PERSONAL DIALYSIS, INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
747 CAMBRIDGE ST
BRIGHTON, MA
ZIP 02135
Phone: (617) 783-3800
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PERSONAL DIALYSIS, INC. is an end-stage renal disease (esrd) treatment clinic center in Brighton, MA. PERSONAL DIALYSIS, INC. NPI is 1902907652. The provider is registered as an organization entity type.

The provider's business location address is:

747 CAMBRIDGE ST
BRIGHTON, MA
ZIP 02135-926
Phone: (617) 783-3800
Fax: (617) 783-0255

The provider's authorized official is Martin L. Gelman .
The authorized official title is President and has the following contact phone number (781) 932-8891.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/21/2022.


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) TreatmentEQZFMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11316303MEDICAIDMASSACHUSETTS
293942OTHERMASSACHUSETTSFALLON HEALTHCARE PROV NO
3AA33419OTHERMASSACHUSETTSHPHC PAYEE ID

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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