Organization Name: | ALLERGY & ASTHMA CONSULTANTS OF ROCKLAND & BERGEN PA |
NPI Number: | 1073633475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN V. BOSSO (PRESIDENT) |
Mailing Address: | 354 Old Hook Rd Suite 207 Westwood |
State: | NJ US |
Postal Code: | 076753246 |
Phone Number: | 2016668500 |
Fax Number: | 2016665241 |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 08/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |