| NPI | 1538474234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMAR PATEL Owner 724-224-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WV 20636) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD07433OL) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2024-12-19 |