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Northeast Allergy Asthma & Immunology, PC

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

NPI number1861815656
StatusActive
Last updated in NPPESMay 4, 2015

Details

NPI
1861815656
Entity type
Organization (NPI-2)
Legal business name
Northeast Allergy Asthma & Immunology, PC
Organization subpart
No
Enumeration date
Jan 29, 2014
Last updated
May 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207K00000X Allergy & Immunology––Yes

Practice location

616 Boston Post Road
Sudbury, MA 01776

Phone 978-537-4805 · Fax 978-261-5637

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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