Organization
KIDNEY & HYPERTENSION CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMAIRA A MAHMUD M.D. (MEDICAL DIRECTOR)
(508) 281-5953
Entity
Organization
Contact information
Practice address
KIDNEY & HYPERTENSION CLINIC, INC., 640 BOLTON ST, MARLBOROUGH, MA 01752-3999
(508) 281-5953
(508) 299-2343
Mailing address
KIDNEY & HYPERTENSION CLINIC, INC., 640 BOLTON ST, MARLBOROUGH, MA 01752-3999
(508) 281-5953
(508) 299-2343
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
154239
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A33542
MEDICARE INDIVIDUAL PIN
MA
Enumeration date
12/17/2007
Last updated
09/22/2010
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