Center for Allergy, Asthma & Immune Disorders, P.a.
NPI #1780634451 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1780634451
- Entity Type
- Organization
- Organization Name
- Center for Allergy, Asthma & Immune Disorders, P.a.
- Primary Specialty
- Specialist
- Enumeration Date
- May 11, 2006
- Last Updated
- Sep 21, 2010
Practice Location
- Address
- 30 PROSPECT AVE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-1914
- Phone
- (201) 996-2065
Authorized Official
- Name
- DR. MARRY ANN MICHLELIS, M.D.
- Title
- PRESIDENT
- Phone
- (201) 996-2065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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