# ALLERGY, ASTHMA & IMMUNOLOGY, PA

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

## Provider details

- **NPI number:** 1447332960
- **Authorized official:** DR. ALAN JAY GOODMAN M.D. (VICE PRESIDENT)
- **Authorized official phone:** (973) 992-4171

## Contact information

- **Practice address:** 209 S LIVINGSTON AVE, SUITE 6, LIVINGSTON, NJ 07039-4044
- **Practice address phone:** (973) 992-4171
- **Practice address fax:** (973) 992-6325
- **Mailing address:** 209 S LIVINGSTON AVE, SUITE 6, LIVINGSTON, NJ 07039-4044
- **Mailing address phone:** (973) 992-4171
- **Mailing address fax:** (973) 992-6325

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 05/20/2010