Organization
MANCHESTER ALLERGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NADER KALLIEL M.D. (PRESIDENT)
(603) 668-6444
Entity
Organization
Contact information
Practice address
765 S MAIN ST, SUITE 203, MANCHESTER, NH 03102-5141
(603) 668-6444
Mailing address
765 S MAIN ST, SUITE 203, MANCHESTER, NH 03102-5141
(603) 668-6444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7573
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010246
—
NH
Enumeration date
12/13/2005
Last updated
08/22/2020
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