Organization
WELLESLEY DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
195 WORCESTER ST, WELLESLEY, MA 02481-5568
(781) 431-1414
(781) 431-1144
Mailing address
195 WORCESTER ST, WELLESLEY, MA 02481-5568
(781) 431-1414
(781) 431-1144
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110091455A
—
MA
Enumeration date
06/27/2011
Last updated
01/10/2023
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