Organization
NORTH EAST KIDNEY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER T FORD (CHAIRMAN)
(978) 922-3080
Entity
Organization
Contact information
Practice address
7499 PARKLANE RD, SUITE 136, COLUMBIA, SC 29223-7650
(803) 741-9912
(803) 741-9528
Mailing address
66 CHERRY HILL DR, BEVERLY, MA 01915-1054
(978) 922-3080
(978) 922-3085
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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