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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 Number | 1891033288 |
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| LBN Legal business name | HACKENSACK ALLERGY & ASTHMA CENTER, LLC | ||||
| Authorized official | THOMAS SELVAGGI - (MANAGING MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/21/2013 | ||||
| Last updated | 01/24/2013 - About 13 years ago | ||||
| Identifiers |
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HACKENSACK ALLERGY & ASTHMA CENTER, LLC