Organization
CENTER FOR ALLERGY, ASTHMA & IMMUNE DISORDERS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARRY ANN MICHLELIS M.D. (PRESIDENT)
(201) 996-2065
Entity
Organization
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2065
(201) 996-2169
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2065
(201) 996-2169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03935600
NJ
Other
Enumeration date
05/11/2006
Last updated
09/21/2010
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