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NPI Profile for THE ALLERGY CLINICAL IMMUNOLOGY CENTER in MARLTON, NJ.
An allergy and immunology physician who specializes in clinical and laboratory immunology disease management.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical & Laboratory Immunology |
207KI0005X | 03 | Physician/Allergy/ Immunology | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1639487507 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/14/2010 | |
| Last updated | 09/14/2010 - About 16 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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THE ALLERGY & CLINICAL IMMUNOLOGY CENTER