Organization Name:  ALLERGY & ASTHMA CLINIC INC.


Practice Location:
1008 S 5TH AVE CRICKLEWOOD CENTER STE. 201 CLARION, PA 16214 US
Tel: 814-226-1599  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	208000000X	Physicians Pediatrics	PA	MD056503L
Y	207K00000X	Physicians Allergy & Immunology	PA	MD056503L

Other Provider Identifiers:

Issuer	Number	State	Type
	1007764110001	PA	05
GATEWAY	1507399		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin