Organization
ALLERGY & CLINICAL IMMUNOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIN PING GUO (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
(856) 797-8886
(856) 985-2866
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
MA074632
NJ
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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