Provider Demographics
NPI:1043424161
Name:ALLERGY AND ASTHMA ASSOCIATES
Entity Type:Organization
Organization Name:ALLERGY AND ASTHMA ASSOCIATES
Other - Org Name:JAMES R. BANKS MD PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-647-2600
Mailing Address - Street 1:277 PENINSULA FARM RD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1018
Mailing Address - Country:US
Mailing Address - Phone:410-647-2600
Mailing Address - Fax:410-647-4953
Practice Address - Street 1:277 PENINSULA FARM RD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1018
Practice Address - Country:US
Practice Address - Phone:410-647-2600
Practice Address - Fax:410-647-4953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
S877OtherMEDICARE