Healthcare Provider Details

I. General information

NPI: 1972149219
Provider Name (Legal Business Name): READYMED PLUS INFUSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2019
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

366 SHREWSBURY ST
WORCESTER MA
01604-4647
US

IV. Provider business mailing address

5 NEPONSET ST WOT 2ND FL, STE C203
WORCESTER MA
01606-2714
US

V. Phone/Fax

Practice location:
  • Phone: 508-595-2700
  • Fax: 774-221-5136
Mailing address:
  • Phone: 508-595-2700
  • Fax: 774-221-5136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TAREK ELSAWY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 508-852-0600