# CENTER FOR EOSINOPHILIC ESOPHAGITIS AND FOOD ALLERGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CEEFA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932523321
- **Authorized official:** DR. MOHAMED S YASSIN M.D. (PARTNER)
- **Authorized official phone:** (320) 654-8266

## Contact information

- **Practice address:** 1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
- **Practice address phone:** (320) 654-8266
- **Practice address fax:** (320) 654-8481
- **Mailing address:** 1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
- **Mailing address phone:** (320) 654-8266
- **Mailing address fax:** (320) 654-8481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2014
- **Last updated:** 07/11/2014
