# ALLERGY & ASTHMA OF NORTHWESTERN PENNSYLVANIA, LLC

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

## Provider details

- **NPI number:** 1356719561
- **Authorized official:** DR. PHILIP EDWARD GALLAGHER M.D. (PHYSICIAN)
- **Authorized official phone:** (814) 456-5341

## Contact information

- **Practice address:** 2202 W 15TH ST, ERIE, PA 16505-4510
- **Practice address phone:** (814) 456-5341
- **Practice address fax:** (814) 456-5647
- **Mailing address:** 2202 W 15TH ST, ERIE, PA 16505-4510
- **Mailing address phone:** (814) 456-5341
- **Mailing address fax:** (814) 456-5647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | MD025120E | PA | Yes |

## Other

- **Enumeration date:** 09/03/2015
- **Last updated:** 11/11/2015
