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General NPI Number Information
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NPI Number | 1497463178
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Entity Type | Organization
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Legal Business Name | INFUSION SERVICES OF SOUTH JERSEY LLC
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 2848 S DELSEA DR STE 3
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City | VINELAND
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State | NJ
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Zip | 08360-7042
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Country | US
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Telephone | 856-794-1003
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Fax | 856-794-9178
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Provider Business Mailing Address
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Address Line | PO BOX 2697
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City | VINELAND
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State | NJ
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Zip | 08362-2697
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Country | US
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Telephone | 856-794-1003
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Fax | 856-794-9178
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | STEPHEN SOLOWAY
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Credential | MD
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Telephone | 856-794-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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