Organization Name: | BIOLOGICTX |
NPI Number: | 1285010306 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA G RAFANELLI (PHARMACIST) |
Mailing Address: | 40d Commerce Way Totowa |
State: | NJ US |
Postal Code: | 075123109 |
Phone Number: | 8005678087 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2015 |
NPI Last Update Date: | 07/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QI0500X |
License Number: | 28RI01986300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Infusion Therapy |
Taxonomy Definition: |