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Organization
BOSTON FOOD ALLERGY CENTER LLC BI NETWORK
Active
Organization
BOSTON FOOD ALLERGY CENTER LLC BI NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LEUNG MD (CEO)
(617) 804-6767
Entity
Organization
Contact information
Practice address
75 KNEELAND ST FL 1, BOSTON, MA 02111-1901
(617) 804-6767
(977) 726-8492
Mailing address
1 NASSAU ST UNIT 1906, BOSTON, MA 02111-1587
(617) 804-6767
(877) 726-8492
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
NULL
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
07/18/2024
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