Organization
PREMIER ALLERGY AND ASTHMA CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETR BOCEK MD, PHD (CEO)
(855) 528-7348
Entity
Organization
Contact information
Practice address
8100 ASHTON AVE STE 207B, MANASSAS, VA 20109-5688
(855) 528-7348
(855) 329-2873
Mailing address
20236 MCNAMARA RD, POOLESVILLE, MD 20837-9418
(855) 528-7348
(855) 329-2873
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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