Organization
WALTHAM DIALYSIS LLC
Active
Other names
The Dialysis Center at Waltham
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
135 BEAVER ST, SUITE 111, WALTHAM, MA 02452-8412
(781) 642-0331
(781) 642-0332
Mailing address
135 BEAVER ST, SUITE 111, WALTHAM, MA 02452-8412
(781) 642-0331
(781) 642-0332
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
—
1301047
—
MA
Enumeration date
08/24/2006
Last updated
01/11/2023
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