NPI: 1548511314
Provider Name: ALLERGY ASTHMA & IMMUNOLOGY RELIEF, PA
Other Name: ALLERGY ASTHMA & IMMUNOLOGY RELIEF, PA
Classification: Internal Medicine - 207RA0201X
Entity Type: Organization
Specialization: Allergy & Immunology
CLIA Number: 34D2085150
Address:
1523 ELIZABETH AVE
SUITE 200
CHARLOTTE, NC
ZIP 28204
Phone: (704) 910-1402
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ALLERGY ASTHMA & IMMUNOLOGY RELIEF, PA is an allergy and immunology internal medicine in Charlotte, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. ALLERGY ASTHMA & IMMUNOLOGY RELIEF, PA NPI is 1548511314. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Allergy Asthma & Immunology Relief, Pa.
The provider's business location address is:
1523 ELIZABETH AVE
SUITE 200
CHARLOTTE, NC
ZIP 28204-534
Phone: (704) 910-1402
Fax: (704) 910-1506
The provider's authorized official is Maeve Edel O'connor .
The authorized official title is President and has the following contact phone number (704) 910-1402.
The CLIA number assigned to this NPI record is 34D2085150 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/19/2012 and was last updated on 10/17/2014.