Provider Demographics
NPI:1891860250
Name:ASTHMA AND ALLERGY ASSOCIATES PC
Entity Type:Organization
Organization Name:ASTHMA AND ALLERGY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROOKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-579-3610
Mailing Address - Street 1:300 EVERGREEN DR STE 180
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1079
Mailing Address - Country:US
Mailing Address - Phone:610-579-3610
Mailing Address - Fax:610-579-3611
Practice Address - Street 1:300 EVERGREEN DR STE 180
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1079
Practice Address - Country:US
Practice Address - Phone:610-579-3610
Practice Address - Fax:610-579-3611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
414074Medicare ID - Type Unspecified