Organization
RENAL MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHREEKANT CHOPRA M.D. (PARTNER)
(508) 588-1505
Entity
Organization
Contact information
Practice address
830 OAK ST, SUITE 125E, BROCKTON, MA 02301-1168
(508) 588-1505
(508) 588-1508
Mailing address
P.O. BOX 129, DANVERS, MA 01923
(508) 588-1505
(508) 588-1508
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9753052
—
MA
01
—
C12115
MEDICARE RAILROAD
—
Enumeration date
02/09/2007
Last updated
02/14/2011
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