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ADVANCED ALLERGY NPI 1598423824


NPI Information

NPI: 1598423824
Provider Name: ADVANCED ALLERGY
Classification: Allergy & Immunology - 207KI0005X
Entity Type: Organization

Specialization: Clinical & Laboratory Immunology

Address:
433 W MAIN ST
HYANNIS, MA
ZIP 02601
Phone: (508) 362-0099
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ADVANCED ALLERGY is a clinical and laboratory immunology allergy immunology in Hyannis, MA. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. ADVANCED ALLERGY NPI is 1598423824. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

433 W MAIN ST
HYANNIS, MA
ZIP 02601-644
Phone: (508) 362-0099
Fax: (508) 362-8811

The provider's authorized official is John Johnson .
The authorized official title is Owner and has the following contact phone number (978) 604-1316.

The enumeration date for this NPI number is 12/3/2021 and was last updated on 12/3/2021.


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
1207K00000XAllergy & ImmunologyNo
2207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyYes
3261QI0500XClinic/CenterInfusion TherapyNo
4261QU0200XClinic/CenterUrgent CareNo

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
11043650641MEDICAIDMASSACHUSETTS
21316556905MEDICAIDMASSACHUSETTS
31558986281MEDICAIDMASSACHUSETTS

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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