Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
267 BOSTON RD, SUITE 8, NORTH BILLERICA, MA 01862-2310
(978) 294-1000
(978) 294-1020
Mailing address
267 BOSTON RD, SUITE 8, NORTH BILLERICA, MA 01862-2310
(978) 274-1000
(978) 294-1020
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E3L0
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1318039
—
MA
Enumeration date
07/19/2006
Last updated
10/04/2023
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