Elite Infusion Iv Hydration Llc

Specialty details in registry · Philadelphia, PA

Call (267) 516-8048 Directions

At a glance

6136 Walnut St, Philadelphia, PA 19139-3704

NPPES record updated Mar 4, 2020. Public records can lag behind changes at a practice.

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Practice location

6136 Walnut St
Philadelphia, PA 19139-3704

Professional details: NPI, taxonomy & registry record

NPI1063047587

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QI0500X
Enumeration date: Mar 4, 2020
Record updated: Mar 4, 2020

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

164W00000X

Specialty details in registry

261QI0500X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6136 Walnut St
Philadelphia, PA 19139-3704

Phone: (267) 516-8048

Mailing address

6136 WALNUT ST

PHILADELPHIA, PA 191393704

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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