Organization
PERSONAL DIALYSIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN L. GELMAN M.D. (PRESIDENT)
(781) 932-8891
Entity
Organization
Contact information
Practice address
747 CAMBRIDGE ST, BRIGHTON, MA 02135-2926
(617) 783-3800
(617) 783-0255
Mailing address
400 W CUMMINGS PARK, SUITE 2250, WOBURN, MA 01801-6519
(781) 932-8891
(617) 783-0255
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
EQZF
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316303
—
MA
01
—
93942
FALLON HEALTHCARE PROV NO
MA
01
—
AA33419
HPHC PAYEE ID
MA
Enumeration date
09/26/2006
Last updated
07/21/2022
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