Healthcare Provider Details

I. General information

NPI: 1003711318
Provider Name (Legal Business Name): PATRIOT HEALTH INFUSION, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 PROSPECT ST
CAMBRIDGE MA
02139-2503
US

IV. Provider business mailing address

76 PROSPECT ST
CAMBRIDGE MA
02139-2503
US

V. Phone/Fax

Practice location:
  • Phone: 617-665-6800
  • Fax: 617-665-6801
Mailing address:
  • Phone: 617-665-6800
  • Fax: 617-665-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID ADAMS
Title or Position: PRESIDENT
Credential:
Phone: 617-459-5100