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Northeast Allergy Asthma & Immunology, PC

Allergy & Immunology in Newton, MA. Organization (NPI-2).

NPI number1023398294
StatusActive
Last updated in NPPESJul 24, 2020

Details

NPI
1023398294
Entity type
Organization (NPI-2)
Legal business name
Northeast Allergy Asthma & Immunology, PC
Organization subpart
No
Enumeration date
Aug 19, 2011
Certification date
Jul 24, 2020
Last updated
Jul 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207K00000X Allergy & Immunology––Yes

Practice location

1400 Centre St Ste 205
Newton, MA 02459-2415

Phone 617-765-0228 · Fax 617-340-6466

Mailing address

79 Erdman Way
Suite 101
Leominster, MA 01453

Phone 978-537-4805 · Fax 978-537-2185

Authorized official

Jordan E. Scott
President/Physician
9785374805

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