Organization
ASTHMA & ALLERGY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU HANSEN (OFFICE MANAGER)
(508) 584-6300
Entity
Organization
Contact information
Practice address
35 PEARL STREET, SUITE 300, BROCKTON, MA 02301
(508) 584-6300
(508) 580-4664
Mailing address
35 PEARL STREET, SUITE 300, BROCKTON, MA 02301
(508) 584-6300
(508) 580-4664
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
30943
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9729470
—
MA
Enumeration date
06/14/2006
Last updated
04/28/2023
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