Provider Demographics
NPI:1083982466
Name:METROWEST ALLERGY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:METROWEST ALLERGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MUPPIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-628-5400
Mailing Address - Street 1:61 LINCOLN ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8264
Mailing Address - Country:US
Mailing Address - Phone:508-628-5400
Mailing Address - Fax:508-628-5410
Practice Address - Street 1:61 LINCOLN ST
Practice Address - Street 2:SUITE 208
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8264
Practice Address - Country:US
Practice Address - Phone:508-628-5400
Practice Address - Fax:508-628-5410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service