Healthcare Provider Details
I. General information
NPI: 1174450878
Provider Name (Legal Business Name): SW INFUSION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15 ROUTE 516
OLD BRIDGE NJ
08857-1402
US
IV. Provider business mailing address
15 ROUTE 516
OLD BRIDGE NJ
08857-1402
US
V. Phone/Fax
- Phone: 856-745-2241
- Fax:
- Phone: 856-745-2241
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRIAN
BERBERIAN
Title or Position: PRESIDENT
Credential: MD
Phone: 856-745-2241