Organization
AXIVA INFUSION CENTERS - WV LLC
Active
Organization
AXIVA INFUSION CENTERS - WV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY HUSTEK (VP OF REVENUE CYCLE)
(610) 609-7399
Entity
Organization
Contact information
Practice address
93 CRIMSON CIR, MARTINSBURG, WV 25403-6397
(304) 885-1500
(304) 885-1501
Mailing address
1120 W TOWNSHIP LINE RD STE 300, HAVERTOWN, PA 19083-4929
(610) 601-0760
(610) 756-0670
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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