Organization
INFUSION RESOURCE, LLC
Active
Other names
Care Resource
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN MARCOCCIO (VP OPERATIONS)
(774) 992-7068
Entity
Organization
Contact information
Practice address
74 FAUNCE CORNER ROAD, SUITE #610, N. DARTMOUTH, MA 02747
(774) 992-7068
(774) 992-7069
Mailing address
74 FAUNCE CORNER ROAD, SUITE #610, N. DARTMOUTH, MA 02747
(774) 992-7068
(774) 992-7069
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
MA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084396B
—
MA
Enumeration date
12/23/2009
Last updated
04/24/2015
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