| Organization Name: | ALLERGY & ASTHMA OF SOUTH JERSEY |
| NPI Number: | 1104046838 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT E COIFMAN (PRESIDENT) |
| Mailing Address: | 1122 N High St Millville |
| State: | NJ US |
| Postal Code: | 083322529 |
| Phone Number: | 8568254100 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | MA43090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |