Northeast Allergy Asthma & Immunology, Pc

NPI 1023398294 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1023398294
Enumeration Date 08/19/2011
Last Updated 05/04/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JORDAN E. JORDAN
Position PRESIDENT/PHYSICIAN
Phone (617) 765-0228
Fax (617) 340-6466
Practice Location
1400 CENTRE STREET
SUITE 104
NEWTON MA, 02459, US
Phone (617) 765-0228
Fax (617) 340-6466
Business Location
79 ERDMAN WAY
SUITE 101
LEOMINSTER MA, 01453, US
Phone (978) 537-4805
Fax (978) 537-2185
Toxanomy
Taxonomy Code 207K00000X
License State
License Number
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According to our database, Northeast Allergy Asthma & Immunology, Pc NPI is 1023398294, taxonomy code is 207K00000X Northeast Allergy Asthma & Immunology, Pc physically located at 1400 Centre Street, Newton MA, 02459. NPI Number 1033115704 has the healthcare provider type.

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1023398294 NPI number is provided on an as is basis without warranty of any kind. 1023398294 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Allergy Asthma & Immunology, Pc are for informational purposes only.