Provider Demographics
NPI:1811419088
Name:INFUSION CENTER OF BERKS COUNTY PC
Entity Type:Organization
Organization Name:INFUSION CENTER OF BERKS COUNTY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/MD
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOROFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-375-4251
Mailing Address - Street 1:2760 CENTURY BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3359
Mailing Address - Country:US
Mailing Address - Phone:610-375-4251
Mailing Address - Fax:610-685-2870
Practice Address - Street 1:2760 CENTURY BLVD STE 3
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3359
Practice Address - Country:US
Practice Address - Phone:610-375-4251
Practice Address - Fax:610-685-2870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy