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Organization

ALLERGY MEDICAL ASSOCIATES OF NORTH SHORE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIRANJAN DUDANI M.D. (OWNER)
(781) 595-6800
Entity
Organization

Contact information

Practice address
214 OCEAN ST, LYNN, MA 01902-3150
(781) 595-6800
(781) 599-7060
Mailing address
214 OCEAN ST, LYNN, MA 01902-3150
(781) 595-6800
(781) 599-7060

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
36270
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036270
TUFTS
MA
01
3090310
NHP
MA
01
4650694
AETNA
01
646761
HARVARD PILGRIM
05
9783857
MA
Enumeration date
06/21/2007
Last updated
09/04/2007
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