OrganizationActive
Dva Healthcare of Massachusetts Inc
NPI 1205415593 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Medford, MA
Provider details
- NPI number
- 1205415593
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Davita Inc
- Authorized official
- Samuel Wey, Vp Licensure & Certification
Practice location
712 Fellsway
Medford, MA 02115
Phone: (781) 957-4032
Fax: (781) 957-4050
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2025-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.