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Contact Information

THE ALLERGY & CLINICAL IMMUNOLOGY CENTER
230 N MAPLE AVE
MARLTON, NJ08053-9400
 Phone: 856-797-8886
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical & Laboratory Immunology

207KI0005X 03 Physician/Allergy/ Immunology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THE ALLERGY & CLINICAL IMMUNOLOGY CENTER

NPI # 1639487507
LBN Legal business name THE ALLERGY & CLINICAL IMMUNOLOGY CENTER
Authorized official JIN GUO - (OWNER/ PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2010
Last updated 09/14/2010 - About 16 years ago
Identifiers
NJ License # MA074632
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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