| Organization Name: | PROFESSIONAL ALLERGY ASSOCIATES P.A. |
| NPI Number: | 1003945965 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICHOLAS ALEXANDER ROMANOFF (PRESIDENT) |
| Mailing Address: | 1034 Marlton Pike E Cherry Hill |
| State: | NJ US |
| Postal Code: | 080342400 |
| Phone Number: | 8564294922 |
| Fax Number: | 8564297780 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | MA25049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |