Organization
MAIN STREET ALLERGY & ASTHMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE A GATTI M.D. (MANAGING PARTNER)
(856) 988-0570
Entity
Organization
Contact information
Practice address
54 E MAIN ST, MARLTON, NJ 08053-2141
(856) 988-0570
(856) 988-0303
Mailing address
54 E MAIN ST, MARLTON, NJ 08053-2141
(856) 988-0570
(856) 988-0303
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87722102
—
NJ
Enumeration date
12/18/2006
Last updated
12/28/2010
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