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ALLERGY DIAGNOSTIC AND TREATMENT CENTER LLC NPI 1437287141


NPI Information

NPI: 1437287141
Provider Name: ALLERGY DIAGNOSTIC AND TREATMENT CENTER LLC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

CLIA Number: 31D0954290

Address:
33 OVERLOOK RD
SUITE 307
SUMMIT, NJ
ZIP 07901
Phone: (908) 522-9696
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ALLERGY DIAGNOSTIC AND TREATMENT CENTER LLC is an allergy allergy immunology in Summit, NJ. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee ALLERGY DIAGNOSTIC AND TREATMENT CENTER LLC NPI is 1437287141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33 OVERLOOK RD
SUITE 307
SUMMIT, NJ
ZIP 07901-570
Phone: (908) 522-9696
Fax: (908) 522-3070

The provider's authorized official is Emily Martinez .
The authorized official title is Office Manager and has the following contact phone number (908) 522-9696.

The CLIA number assigned to this NPI record is 31D0954290 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 5/6/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergy25MA04167900NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1083739MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

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: 4/28/2024

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