Provider Demographics
NPI:1205089802
Name:ALPHA INFUSION MEDICAL LLC
Entity type:Organization
Organization Name:ALPHA INFUSION MEDICAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MALVERICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOFLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-747-9797
Mailing Address - Street 1:4 PRIMROSE DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-2374
Mailing Address - Country:US
Mailing Address - Phone:609-747-9797
Mailing Address - Fax:690-747-9797
Practice Address - Street 1:313 W BROAD ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-1343
Practice Address - Country:US
Practice Address - Phone:609-747-9797
Practice Address - Fax:609-747-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care