Organization
ALLERGY, ASTHMA & IMMUNOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JAY GOODMAN M.D. (VICE PRESIDENT)
(973) 992-4171
Entity
Organization
Contact information
Practice address
209 S LIVINGSTON AVE, SUITE 6, LIVINGSTON, NJ 07039-4044
(973) 992-4171
(973) 992-6325
Mailing address
209 S LIVINGSTON AVE, SUITE 6, LIVINGSTON, NJ 07039-4044
(973) 992-4171
(973) 992-6325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
05/20/2010
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