institution
Brockton Healthcare Clinic Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brockton, Massachusetts
NPI 1952630568

Brockton Healthcare Clinic 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 Healthcare Clinic Llc practices in Brockton, MA. The NPI Number for Brockton Healthcare Clinic Llc is 1952630568 and holds a License No. (Massachusetts).

The current practice location address for Brockton Healthcare Clinic Llc is 76 Campanelli Industrial Dr, Brockton, MA and can be reached out via phone at 508-427-5329 and via fax at 508-427-5421.

Location: 76 Campanelli Industrial Dr, Brockton, MA, 02301-1809
institution
Provider Profile Details
NPI Number
1952630568
Provider Name
Brockton Healthcare Clinic Llc
Credential
Provider Entity Type
Organization
Address
76 Campanelli Industrial Dr, Brockton, MA, 02301-1809
Phone Number
508-427-5329
Fax Number
508-427-5421
Provider Enumeration Date
12/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110086580A 05 MA
institution
Provider Business Practice Location Address Details
Address
76 Campanelli Industrial Dr
City
State
Zip
02301-1809
Phone Number
508-427-5329
Fax Number
508-427-5421
person
Provider Business Mailing Address Details
Address
76 Campanelli Industrial Dr
City
State
Zip
02301-1809
Phone Number
508-427-5329
Fax Number
508-427-5421
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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