Organization
DVA HEALTHCARE OF MASSACHUSETTS INC
Active
Other names
Burlington Regional Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
31 MALL RD, SUITE 1B, BURLINGTON, MA 01803-4138
(781) 270-3580
(781) 270-3653
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
EOYV
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1318080
—
MA
Enumeration date
03/23/2006
Last updated
03/07/2025
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