# MODERN ALLERGY, LLC

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

## Provider details

- **NPI number:** 1356083802
- **Authorized official:** DR. GREGORY HAYWARD BENNETT DO (PRESIDENT & PHYSICIAN)
- **Authorized official phone:** (614) 758-7600

## Contact information

- **Practice address:** 3535 FISHINGER BLVD STE 280, HILLIARD, OH 43026-7568
- **Practice address phone:** (614) 758-7600
- **Practice address fax:** (614) 758-7609
- **Mailing address:** 3535 FISHINGER BLVD, STE. 280, HILLIARD, OH 43026-7568
- **Mailing address phone:** (614) 758-7600
- **Mailing address fax:** (614) 758-7609

## Taxonomy

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

## Other

- **Enumeration date:** 04/13/2022
- **Last updated:** 06/02/2023