Provider Demographics
NPI:1053677583
Name:INFUSION RESOURCE
Entity Type:Organization
Organization Name:INFUSION RESOURCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCOCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-250-1500
Mailing Address - Street 1:69 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1011
Mailing Address - Country:US
Mailing Address - Phone:781-250-1500
Mailing Address - Fax:781-314-0522
Practice Address - Street 1:69 HICKORY DR
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1011
Practice Address - Country:US
Practice Address - Phone:781-250-1500
Practice Address - Fax:781-314-0522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies