Healthcare Provider Details

I. General information

NPI: 1154415248
Provider Name (Legal Business Name): NATIONAL INFUSION CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CENTRAL AVE SUITE B
EGG HARBOR TOWNSHIP NJ
08234-8340
US

IV. Provider business mailing address

301 CENTRAL AVE SUITE B
EGG HARBOR TOWNSHIP NJ
08234-8340
US

V. Phone/Fax

Practice location:
  • Phone: 609-926-6677
  • Fax: 609-926-1011
Mailing address:
  • Phone: 609-926-6677
  • Fax: 609-926-1011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ALIMORAD SALARTASH
Title or Position: CEO
Credential: MD
Phone: 609-926-6677