| NPI | 1891116059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ISPAS-PONAS CEO/President 571-399-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101249276) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2016-04-14 |