AGILE INFUSION MEDICINE PC; NPI #1972382018

Contact Information

AGILE INFUSION MEDICINE PC

5 SUMMIT AVE STE 204
HACKENSACK, NJ 07601-1271

Phone: 201-751-2202
Fax: 201-266-0437
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	261QP2300X
Pulmonary Disease	207RP1001X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for AGILE INFUSION MEDICINE PC

NPI #	`1972382018`
LBN Legal business name	AGILE INFUSION MEDICINE PC
Authorized official	JONATHAN WIESEN - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/27/2023
Last updated	12/06/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AGILE INFUSION MEDICINE PC

Contact Information

Specialty

Primary Care

Pulmonary Disease

NPI Profile & details for AGILE INFUSION MEDICINE PC

Reviews for AGILE INFUSION MEDICINE PC