Organization
CAPITOL DIALYSIS LLC
Active
Other names
Capitol Dialysis Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER T FORD (CHAIRMAN)
(978) 922-3080
Entity
Organization
Contact information
Practice address
2601 18TH ST, WASHINGTON, DC 20018-1301
(202) 636-5690
(202) 636-5691
Mailing address
66 CHERRY HILL DR, SUITE 200, 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
07/25/2007
Last updated
07/25/2007
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