Organization · NPI-2
Allergy & Asthma - Pcpo LLC
Allergy & Immunology, Allergy · Stoneham, MA
NPI number1609485770
StatusActive
Last updated in NPPESJul 24, 2020
Details
- NPI
- 1609485770
- Entity type
- Organization (NPI-2)
- Legal business name
- Allergy & Asthma - Pcpo LLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2020
- Certification date
- Jul 24, 2020
- Last updated
- Jul 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207KA0200X | Allergy & Immunology, Allergy | – | – | Yes |
Practice location
3 Woodland Rd Ste 217Stoneham, MA 02180-1711
Phone 781-395-2922 · Fax 781-393-8905
Mailing address
3 Woodland Rd Ste 217Stoneham, MA 02180-1711
Phone 781-395-2922 · Fax 781-393-8905
Authorized official
Jordan E. Scott
President
7813952922
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