# THE ALLERGY & CLINICAL IMMUNOLOGY CENTER

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

## Provider details

- **NPI number:** 1639487507
- **Authorized official:** JIN PING GUO (OWNER/ PHYSICIAN)
- **Authorized official phone:** (856) 797-8886

## Contact information

- **Practice address:** 230 N MAPLE AVE, MARLTON, NJ 08053-9400
- **Practice address phone:** (856) 797-8886
- **Mailing address:** 6 DAFFODIL LN, LUMBERTON, NJ 08048-4808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | MA074632 | NJ | Yes |
| 207R00000X | Internal Medicine Physician | MA074632 | NJ | — |

## Other

- **Enumeration date:** 09/14/2010
- **Last updated:** 09/14/2010
