Organization
THE ALLERGY & CLINICAL IMMUNOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIN PING GUO (OWNER/ PHYSICIAN)
(856) 797-8886
Entity
Organization
Contact information
Practice address
230 N MAPLE AVE, MARLTON, NJ 08053-9400
(856) 797-8886
Mailing address
6 DAFFODIL LN, LUMBERTON, NJ 08048-4808
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
MA074632
NJ
207R00000X
Internal Medicine Physician
MA074632
NJ
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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