OrganizationActive
Dva Healthcare of Massachusetts Inc
NPI 1124087150 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Brookline, MA
Provider details
- NPI number
- 1124087150
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp, Licensure & Certification
- License
- EZTZ (MA)
Practice location
322 Washington St
Brookline, MA 02445-6850
Phone: (617) 734-7794
Fax: (617) 734-6999
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.