Organization
ALLERGY & ASTHMA SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA IMES (MANAGER)
(717) 248-9550
Entity
Organization
Contact information
Practice address
418 N LOGAN BLVD, BURNHAM, PA 17009-1816
(717) 248-9550
(717) 248-9558
Mailing address
418 N LOGAN BLVD, BURNHAM, PA 17009-1816
(717) 248-9550
(717) 248-9558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD040650E
PA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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