Organization
NORTHEAST MEDICAL INFUSION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASOOMA ATHAR (MD)
(978) 809-4155
Entity
Organization
Contact information
Practice address
155 MAIN DUNSTABLE RD STE 140, NASHUA, NH 03060-3666
(978) 809-4155
Mailing address
155 MAIN DUNSTABLE RD STE 140, NASHUA, NH 03060-3666
(978) 809-4155
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
03/21/2025
Last updated
10/20/2025
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