OrganizationActive
Dva Healthcare of Massachusetts Inc
NPI 1891754883 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Medford, MA
Provider details
- NPI number
- 1891754883
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp Licensure & Certification
- License
- EQ1D (MA)
Practice location
10 Cabot Rd
Ste 103b
Medford, MA 02155-5275
Phone: (781) 306-9740
Fax: (781) 306-9745
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2025-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.