Organization · Type 2 NPI

Dva Healthcare of Massachusetts Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Weymouth, MA

NPI number 1083673990 Active

Practice location

330 Libbey Industrial Pkwy, Ste 900
Weymouth, MA 02189-3122

Call (781) 331-7700 Map

Fax (781) 331-3046

Mailing address

5200 Virginia Way, L & C Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	EKOM (MA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1083673990
Entity type: Organization (Type 2)
Issued: Mar 20, 2006
Last updated: Jun 26, 2025
Status: Active

Other names

<unavail>
Weymouth Dialysis · doing business as
Weymouth Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083673990

Dva Healthcare of Massachusetts Inc's National Provider Identifier is 1083673990, issued on Mar 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Weymouth, MA. The record was last updated on Jun 26, 2025.