Organization
DVA HEALTHCARE OF MASSACHUSETTS INC
Active
Other names
Brookline Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
322 WASHINGTON ST, BROOKLINE, MA 02445-6850
(617) 734-7794
(617) 734-6999
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
EZTZ
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028113B
—
MA
05
—
30009198
—
NH
Enumeration date
03/20/2006
Last updated
10/15/2025
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