| Organization Name: | INFUSION CENTER OF PENNSYLVANIA LLC |
| NPI Number: | 1689048720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EMMA SINGH (MEDICAL DIRECTOR) |
| Mailing Address: | 649 N Lewis Rd Suite 220 Royersford |
| State: | PA US |
| Postal Code: | 194681234 |
| Phone Number: | 6104956800 |
| Fax Number: | 6104951848 |
| NPI Enumeration Date: | 11/29/2015 |
| NPI Last Update Date: | 05/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QI0500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Infusion Therapy |
| Taxonomy Definition: | |