Provider Demographics
NPI:1114679461
Name:FAMILY ALLERGY AND ASTHMA CARE PC
Entity Type:Organization
Organization Name:FAMILY ALLERGY AND ASTHMA CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRITH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-893-7423
Mailing Address - Street 1:23133 ORCHARD LAKE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3279
Mailing Address - Country:US
Mailing Address - Phone:248-893-7423
Mailing Address - Fax:
Practice Address - Street 1:23133 ORCHARD LAKE RD STE 202
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-3279
Practice Address - Country:US
Practice Address - Phone:248-893-7423
Practice Address - Fax:833-509-2247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty