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Provo Kidney Care Llc
Nephrology Physician in Waltham, Massachusetts
NPI 1972056893

Provo Kidney Care Llc is a Nephrology Physician based in Waltham, MA and is specialized in Nephrology. Provo Kidney Care Llc practices in Waltham, MA. The NPI Number for Provo Kidney Care Llc is 1972056893 and holds a License No. 001 (Massachusetts).

The current practice location address for Provo Kidney Care Llc is 920 Winter St, Waltham, MA and can be reached out via phone at 480-639-7186 and via fax at 602-798-8267. You can also correspond with Provo Kidney Care Llc through the mailing address at 920 WINTER ST, WALTHAM, MA - 02451-1521 (mailing address contact number: 480-639-7186).

Location: 920 Winter St, Waltham, MA, 02451-1521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972056893
Provider Name
Provo Kidney Care Llc
Credential
Provider Entity Type
Organization
Address
920 Winter St, Waltham, MA, 02451-1521
Phone Number
480-639-7186
Fax Number
602-798-8267
Provider Enumeration Date
07/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
920 Winter St
City
Waltham
State
Massachusetts
Zip
02451-1521
Phone Number
480-639-7186
Fax Number
602-798-8267
person
Provider Business Mailing Address Details
Address
920 Winter St
City
Waltham
State
Massachusetts
Zip
02451-1521
Phone Number
480-639-7186
Fax Number
602-798-8267
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
001 (Utah)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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