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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 |
| NPI # | 1194795450 |
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| LBN Legal business name | MCGOVERN ALLERGY CLINIC, P.A. | ||||
| Authorized official | DORRETTE LITTLETON - (OFFICE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/26/2006 | ||||
| Last updated | 12/30/2020 - About 5 years ago | ||||
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MCGOVERN ALLERGY CLINIC, P.A.