| NPI | 1891996658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROBERT BERGMAN President 703-263-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101025702) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |