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Organization

BOSTON FOOD ALLERGY CENTER LLC BI NETWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN LEUNG MD (CEO)
(617) 804-6767
Entity
Organization

Contact information

Practice address
75 KNEELAND ST FL 1, BOSTON, MA 02111-1901
(617) 804-6767
(977) 726-8492
Mailing address
1 NASSAU ST UNIT 1906, BOSTON, MA 02111-1587
(617) 804-6767
(877) 726-8492

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
207L00000X
Anesthesiology Physician
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
11/20/2019
Last updated
07/18/2024
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