# ALLERGY AND CLINICAL IMMUNOLOGY CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** USHA SUNDARAM MD
- **Other names:** allergy and clinical immunology center PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578616579
- **Legal business name:** USHA SUNDARAM MD
- **Authorized official:** USHA SUNDARAM MD (PRESIDENT)
- **Authorized official phone:** (973) 377-4112

## Contact information

- **Practice address:** 29 COLUMBIA TPKE STE 202, FLORHAM PARK, NJ 07932-2240
- **Practice address phone:** (973) 377-4112
- **Practice address fax:** (973) 377-2775
- **Mailing address:** 29 COLUMBIA TPKE STE 202, FLORHAM PARK, NJ 07932-2240
- **Mailing address phone:** (973) 377-4112
- **Mailing address fax:** (973) 377-2775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | MA028825 | NJ | Yes |

## Other

- **Enumeration date:** 01/21/2007
- **Last updated:** 10/14/2019