Organization
SAINT ELIZABETH MEDICAL CENTER DIALYSIS UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID OSLUND (BILLING MANAGER)
(800) 664-3884
Entity
Organization
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(800) 664-3884
Mailing address
PO BOX 50664, WOBURN, MA 01815-0001
(800) 664-3884
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1201719
—
MA
Enumeration date
05/17/2007
Last updated
08/22/2020
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