ASTHMA & ALLERGY PHYSICIANS LLC NPI 1376586354

NPI Information

  • NPI: 1376586354
  • Provider Name: ASTHMA & ALLERGY PHYSICIANS LLC
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • CLIA Number: 22D0945402
  • Address: 35 PEARL STREET
    SUITE 300
    BROCKTON, MA
    ZIP 02301
  • Phone: (508) 584-6300

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NPI Details

ASTHMA & ALLERGY PHYSICIANS LLC is an allergy allergy immunology in Brockton, MA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee ASTHMA & ALLERGY PHYSICIANS LLC NPI is 1376586354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35 PEARL STREET
SUITE 300
BROCKTON, MA
ZIP 02301
Phone: (508) 584-6300
Fax: (508) 580-4664

The provider's authorized official is Mary Lou Hansen .
The authorized official title is Office Manager and has the following contact phone number (508) 584-6300.

The CLIA number assigned to this NPI record is 22D0945402 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 4/28/2023.

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 & ImmunologyAllergy30943MASSACHUSETTSYes

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
19729470MEDICAIDMASSACHUSETTS

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: 11/21/2025

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