Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
56 WINTHROP ST, UNIT 2A, CONCORD, MA 01742-2076
(978) 369-1683
(978) 369-2562
Mailing address
56 WINTHROP ST, UNIT 2A, CONCORD, MA 01742-2076
(978) 369-1683
(978) 369-2562
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
EPCU
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1319302
—
MA
Enumeration date
07/08/2006
Last updated
10/04/2023
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