Organization
ST. RAPHAEL DIALYSIS CENTER PARTNERSHIP
Active
Other names
MILFORD DIALYSIS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
50 COMMERCE PARK, NEW HAVEN, CT 06511
(203) 876-1398
Mailing address
50 COMMERCE PARK, MILFORD, CT 06460-3565
(203) 876-1398
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
02/25/2009
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