Tri State Allergy And Asthma, LLC
Clinic/Center, Medical Specialty in Erie, PA. Organization (NPI-2).
NPI number1801262001
StatusActive
Last updated in NPPESAug 17, 2019
Details
- NPI
- 1801262001
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri State Allergy And Asthma, LLC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2015
- Last updated
- Aug 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | MD434791 | PA | Yes |
Practice location
3546 W 12th StErie, PA 16505-3654
Phone 814-879-0979 · Fax 814-452-4360
Mailing address
3546 W 12th StErie, PA 16505-3654
Phone 814-879-0979 · Fax 814-452-4360
Authorized official
Sartaj Ahmed
Owner/Physician
8146881508
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