Organization
GARDEN STATE ALLERGY AND ASTHMA CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A. WACHS M.D. (PRESIDENT)
(856) 417-6185
Entity
Organization
Contact information
Practice address
102 CENTRE BOULEVARD, SUITE B, MARLTON, NJ 08053
(856) 753-8989
(856) 753-9588
Mailing address
102 CENTRE BOULEVARD, SUITE B, MARLTON, NJ 08053
(856) 753-8989
(856) 753-9588
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
25MA07514500
NJ
Other
Enumeration date
10/16/2006
Last updated
05/03/2012
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