Organization Name: | PEDIATRIC ASTHMA ALLERGY SPECIALTY CARE CENTER |
NPI Number: | 1013238492 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRONG V LE (ALLERGY IMMUNOLOGY) |
Mailing Address: | 221 Martroy Ln Wallingford |
State: | PA US |
Postal Code: | 190866313 |
Phone Number: | 6109455785 |
Fax Number: | 6109432344 |
NPI Enumeration Date: | 06/19/2010 |
NPI Last Update Date: | 08/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | MD432871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |