# FRESENIUS VASCULAR CARE BOSTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396191482
- **Authorized official:** JEFFREY E SNODGRASS (GENERAL MANAGER)
- **Authorized official phone:** (610) 644-8900

## Contact information

- **Practice address:** 130 NEEDHAM ST, NEWTON, MA 02464-1506
- **Practice address phone:** (610) 644-8900
- **Mailing address:** 40 VALLEY STREAM PKWY STE 100, ATTN: CREDENTIALING DEPT., MALVERN, PA 19355-1407
- **Mailing address phone:** (610) 644-8900
- **Mailing address fax:** (610) 644-8909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2016
- **Last updated:** 10/21/2016