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Brockton Dialysis Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brockton, Massachusetts
NPI 1740558618

Brockton Dialysis Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brockton, MA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Brockton Dialysis Center Llc practices in Brockton, MA. The NPI Number for Brockton Dialysis Center Llc is 1740558618 and holds a License No. (Massachusetts).

The current practice location address for Brockton Dialysis Center Llc is 375 Westgate Dr, Brockton, MA and can be reached out via phone at 508-586-2791 and via fax at 508-583-6986.

Location: 375 Westgate Dr, Brockton, MA, 02301-1818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740558618
Provider Name
Brockton Dialysis Center Llc
Credential
Provider Entity Type
Organization
Address
375 Westgate Dr, Brockton, MA, 02301-1818
Phone Number
508-586-2791
Fax Number
508-583-6986
Provider Enumeration Date
12/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110091941A 05 MA
institution
Provider Business Practice Location Address Details
Address
375 Westgate Dr
City
Brockton
State
Massachusetts
Zip
02301-1818
Phone Number
508-586-2791
Fax Number
508-583-6986
person
Provider Business Mailing Address Details
Address
375 Westgate Dr
City
Brockton
State
Massachusetts
Zip
02301-1818
Phone Number
508-586-2791
Fax Number
508-583-6986
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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