PROFESSIONAL ALLERGY ASSOC NPI 1104924901

NPI Information

  • NPI: 1104924901
  • Provider Name: PROFESSIONAL ALLERGY ASSOC
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • Address: 154 EAST MAIN ST
    SUITE 203
    WESTBORO, MA
    ZIP 01581
  • Phone: (508) 366-4811

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NPI Details

PROFESSIONAL ALLERGY ASSOC is an allergy allergy immunology in Westboro, MA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee PROFESSIONAL ALLERGY ASSOC NPI is 1104924901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

154 EAST MAIN ST
SUITE 203
WESTBORO, MA
ZIP 01581
Phone: (508) 366-4811
Fax: (508) 366-1216

The provider's authorized official is Stanley R Sakowitz .
The authorized official title is Physician President and has the following contact phone number (508) 366-4811.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergy29219MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M15845OTHERMASSACHUSETTSBCBS GR#
2=========OTHERMASSACHUSETTSMISC. HMO'S
3A36665MEDICARE UPINMASSACHUSETTS
49771484MEDICAIDMASSACHUSETTS
5M15845MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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