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Organization
BACK BAY ALLERGY ASSOCIATES LLC
Active
Organization
BACK BAY ALLERGY ASSOCIATES LLC
Active
Parent organization
BACK BAY ALLERGY ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BACK BAY ALLERGY ASSOCIATES LLC
Authorized official
DR. MARTIN GEORGE OSTRO M.D. (OWNER/MANAGER)
(978) 452-4626
Entity
Organization
Contact information
Practice address
77 E MERRIMACK ST, SUITE 6, LOWELL, MA 01852-1251
(978) 452-4626
(707) 598-0684
Mailing address
77 E MERRIMACK ST, SUITE 6, LOWELL, MA 01852-1251
(978) 452-4626
(707) 598-0684
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
42186
MA
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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