Organization
BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.
Active
Other names
FMS DIALYSIS SERVICES OF WALTHAM
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
1254 MAIN ST, WALTHAM, MA 02451-1739
(781) 736-0152
Mailing address
1254 MAIN ST, WALTHAM, MA 02451-1739
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
—
1308769
—
MA
Enumeration date
08/05/2006
Last updated
08/22/2020
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