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Organization
ALLERGYCORP GROUP, LLC
Active
Organization
ALLERGYCORP GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRI ZIVKO PITOVSKI M.D (PHYSICIAN/ CEO)
(866) 250-7400
Entity
Organization
Contact information
Practice address
5409 W FRIENDLY AVE, GREENSBORO, NC 27410-4209
(866) 250-7400
Mailing address
5409 W FRIENDLY AVE, GREENSBORO, NC 27410-4209
(866) 250-7400
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
NULL
207K00000X
Allergy & Immunology Physician
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
NULL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0602X
Otolaryngic Allergy Physician
—
NULL
207YX0602X
Otolaryngic Allergy Physician
—
—
Other
Enumeration date
12/07/2015
Last updated
12/21/2015
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