Organization
BEACON INFUSION HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK JOHNSON (OPERATIONS DIRECTOR)
(917) 882-1835
Entity
Organization
Contact information
Practice address
1075 STEPHENSON AVENUE, SUITE D-2, OCEANPORT, NJ 07757
(609) 450-8872
(949) 724-3345
Mailing address
1075 STEPHENSON AVENUE, SUITE D-2, OCEANPORT, NJ 07757
(609) 450-8872
(949) 724-3345
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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