# HAVEN ALLERGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194588772
- **Authorized official:** BRADLEY ROLFES (BUSINESS MANAGER)
- **Authorized official phone:** (609) 969-1540

## Contact information

- **Practice address:** 81 OAK PL, FAIR HAVEN, NJ 07704-3509
- **Practice address phone:** (609) 969-1540
- **Mailing address:** 81 OAK PL, FAIR HAVEN, NJ 07704-3509
- **Mailing address phone:** (609) 969-1540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2024
- **Last updated:** 02/05/2024