ALLERGY & ASTHMA CLINIC INC.
Allergy and Immunology
Clarion, Pennsylvania
Provider NPI: 1861467409
Organization Information: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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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