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NPI Profile for PRIME ALLERGY ASTHMA CARE LLC in CLINTON, MD.
A physician who specializes in the diagnosis, treatment, and management of allergies.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Allergy |
207KA0200X | 03 | Physician/Allergy/ Immunology | |
Allergy & Immunology |
207RA0201X | 11 | Physician/Internal Medicine | |
Clinical & Laboratory Immunology |
207KI0005X | 03 | Physician/Allergy/ Immunology |
| NPI Number | 1518212786 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/13/2012 | |
| Last updated | 01/24/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PRIME ALLERGY & ASTHMA CARE, LLC