Provider Demographics
NPI:1326030206
Name:ALLERGY & ASTHMA PHYSICIANS PC
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA PHYSICIANS PC
Other - Org Name:JOEL G. BLEIER , MD, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-395-2922
Mailing Address - Street 1:3 WOODLAND RD STE 217
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1711
Mailing Address - Country:US
Mailing Address - Phone:781-395-2922
Mailing Address - Fax:781-393-8905
Practice Address - Street 1:3 WOODLAND RD STE 217
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-1711
Practice Address - Country:US
Practice Address - Phone:781-395-2922
Practice Address - Fax:781-393-8905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA698803OtherTUFTS GR#
MAV49144OtherNETWORK HEALTH
MAM13614OtherBCBS GR#
MAV49144OtherNETWORK HEALTH
MAM13614OtherBCBS GR#