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Organization

HACKENSACK ALLERGY & ASTHMA CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS AQUINAS SELVAGGI M.D. (MANAGING MEMBER)
(201) 343-6673
Entity
Organization

Contact information

Practice address
211 ESSEX ST, SUITE 401, HACKENSACK, NJ 07601-3231
(201) 343-6673
(201) 343-7555
Mailing address
655 SOLDIER HILL RD, ORADELL, NJ 07649-1201
(201) 343-6673
(201) 343-7555

Taxonomy

Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
25MA06521100
NJ

Other

Enumeration date
01/21/2013
Last updated
01/24/2013
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