Organization
HAVEN ALLERGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY ROLFES (BUSINESS MANAGER)
(609) 969-1540
Entity
Organization
Contact information
Practice address
81 OAK PL, FAIR HAVEN, NJ 07704-3509
(609) 969-1540
Mailing address
81 OAK PL, FAIR HAVEN, NJ 07704-3509
(609) 969-1540
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619111366
NPI
—
Enumeration date
02/05/2024
Last updated
02/05/2024
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