Organization
THE INSTITUTE OF ALLERGY,IMMUNOLOGY & ASTHMA FOR ADULTS AND CHILDREN P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAINA M GUTIN M.D. (OWNER)
(856) 845-8300
Entity
Organization
Contact information
Practice address
630 SALEM AVENUE, WESTBURY PROFESSIONAL BUILDING, WOODBURY, NJ 08096
(856) 845-8300
(856) 845-1225
Mailing address
630 SALEM AVENUE, WOODBURY, NJ 08096
(856) 845-8300
(856) 845-1225
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA07893400
NJ
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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