Organization
ALLERGY & ASTHMA CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARESH I. DESAI M.D. (PRESIDENT)
(814) 226-1599
Entity
Organization
Contact information
Practice address
1008 S 5TH AVE, CRICKLEWOOD CENTER STE. 201, CLARION, PA 16214-8676
(814) 226-1599
(814) 226-1583
Mailing address
1008 S 5TH AVE, CRICKLEWOOD CENTER STE. 201, CLARION, PA 16214-8676
(814) 226-1599
(814) 226-1583
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD056503L
PA
208000000X
Pediatrics Physician
MD056503L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007764110001
—
PA
01
—
1507399
GATEWAY
—
Enumeration date
02/17/2006
Last updated
08/31/2010
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