Provider Demographics
NPI:1659443364
Name:TWO RIVER ALLERGY & ASTHMA GROUP, LLC
Entity Type:Organization
Organization Name:TWO RIVER ALLERGY & ASTHMA GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:PICONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:732-747-8188
Mailing Address - Street 1:55 NORTH GILBERT STREET
Mailing Address - Street 2:SUITE 1201 BLDG #1 SECOND FLOOR
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4960
Mailing Address - Country:US
Mailing Address - Phone:732-747-8188
Mailing Address - Fax:732-747-5946
Practice Address - Street 1:55 NORTH GILBERT STREET
Practice Address - Street 2:SUITE 1201 BLDG #1 SECOND FLOOR
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701-4960
Practice Address - Country:US
Practice Address - Phone:732-747-8188
Practice Address - Fax:732-747-5946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty