| NPI | 1649234980 |
|---|---|
| Doing Business As | PARK ALLERGY CENTER |
| Entity Type | Organization |
| Authorized Contact | SANJAY P. DALAL President 269-341-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| 207K00000X Allergy & Immunology | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2015-03-06 |