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Organization

PEDIATRIC ASTHMA ALLERGY SPECIALTY CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRONG V LE M.D. (ALLERGY IMMUNOLOGY)
(610) 943-3224
Entity
Organization

Contact information

Practice address
221 MARTROY LN, WALLINGFORD, PA 19086-6313
(610) 945-5785
(610) 943-2344
Mailing address
225 S CHESTER RD, STE #7, SWARTHMORE, PA 19081-1919
(610) 943-3224
(610) 943-2344

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD432871
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102020613
PA
Enumeration date
06/19/2010
Last updated
08/01/2011
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