Organization
ADVANCED ALLERGY
Active
Other names
The Allergy & Asthma Centers of Cape Cod
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOHNSON D.O. (OWNER)
(978) 604-1316
Entity
Organization
Contact information
Practice address
433 W MAIN ST, HYANNIS, MA 02601-3644
(508) 362-0099
(508) 362-8811
Mailing address
960 PUTNAM AVE, MARSTONS MILLS, MA 02648-5708
(978) 604-1316
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043650641
—
MA
05
—
1316556905
—
MA
05
—
1558986281
—
MA
Enumeration date
12/03/2021
Last updated
12/03/2021
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