Dva Healthcare Of Massachusetts INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Woburn, MA. Organization (NPI-2).
NPI number1184683047
StatusActive
Last updated in NPPESNov 3, 2026
Details
- NPI
- 1184683047
- Entity type
- Organization (NPI-2)
- Legal business name
- Dva Healthcare Of Massachusetts INC
- Organization subpart
- No
- Enumeration date
- Mar 20, 2006
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | EJI6 | MA | Yes |
Other names
- Woburn Dialysis (Doing Business As)
Practice location
23 Warren AveWoburn, MA 01801-7906
Phone 781-935-7700 · Fax 781-933-7690
Mailing address
5200 Virginia WayL & C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel T Wey
Vp Licensure & Certification
6153416641
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