Organization
TRI STATE ALLERGY AND ASTHMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARTAJ AHMED MD (OWNER/PHYSICIAN)
(814) 688-1508
Entity
Organization
Contact information
Practice address
3546 W 12TH ST, ERIE, PA 16505-3654
(814) 879-0979
(814) 452-4360
Mailing address
3546 W 12TH ST, ERIE, PA 16505-3654
(814) 879-0979
(814) 452-4360
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD434791
PA
Other
Enumeration date
08/11/2015
Last updated
08/17/2019
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