Healthcare Provider Details

I. General information

NPI: 1255256590
Provider Name (Legal Business Name): SBK INFUSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 NEW JERSEY 38 UNIT 20
MT LAUREL NJ
08054
US

IV. Provider business mailing address

3111 NEW JERSEY 38 UNIT 20
MT LAUREL NJ
08054
US

V. Phone/Fax

Practice location:
  • Phone: 609-346-9557
  • Fax:
Mailing address:
  • Phone: 609-346-9557
  • Fax:

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: TIFFANY TORRENCE
Title or Position: CEO
Credential:
Phone: 609-346-9557