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Organization

ALLERGY & ASTHMA CENTER OF NORTHEAST OHIO

Active
Other names
Allergy & Pediatric Pulmonary Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJEEV KISHORE MD (PRESIDENT OF CORPORATION)
(330) 762-7475
Entity
Organization

Contact information

Practice address
215 W BOWERY ST, SUITE 4500, AKRON, OH 44308-1069
(330) 762-7475
(330) 253-2412
Mailing address
215 W BOWERY ST, SUITE 4500, AKRON, OH 44308-1069
(330) 762-7475
(330) 253-2412

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2117097
OH
01
DD6471
MEDICARE RAILROAD
OH
Enumeration date
11/01/2006
Last updated
07/17/2008
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