Provider Demographics
NPI:1760427553
Name:ALLERGY AND PULMONARY ASSOC. PA
Entity Type:Organization
Organization Name:ALLERGY AND PULMONARY ASSOC. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEONARDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-581-1400
Mailing Address - Street 1:1542 KUSER RD
Mailing Address - Street 2:SUITE B7
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3829
Mailing Address - Country:US
Mailing Address - Phone:609-581-1400
Mailing Address - Fax:609-585-5234
Practice Address - Street 1:1542 KUSER RD
Practice Address - Street 2:SUITE B7
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3829
Practice Address - Country:US
Practice Address - Phone:609-581-1400
Practice Address - Fax:609-585-5234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ607912Medicare ID - Type Unspecified