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Organization
PROFESSIONAL ALLERGY ASSOC
Active
Organization
PROFESSIONAL ALLERGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY R SAKOWITZ MD (PHYSICIAN PRESIDENT)
(508) 366-4811
Entity
Organization
Contact information
Practice address
154 EAST MAIN ST, SUITE 203, WESTBORO, MA 01581
(508) 366-4811
(508) 366-1216
Mailing address
154 EAST MAIN ST, SUITE 203, WESTBORO, MA 01581
(508) 366-4811
(508) 366-1216
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
29219
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9771484
—
MA
01
—
M15845
BCBS GR#
MA
Enumeration date
09/20/2006
Last updated
04/20/2008
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