Provider Demographics
NPI:1942370010
Name:ALLERGY & ASTHMA CARE PC
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:ACCETTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-880-3121
Mailing Address - Street 1:2007 BAY ST
Mailing Address - Street 2:STE 101
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780
Mailing Address - Country:US
Mailing Address - Phone:508-880-3121
Mailing Address - Fax:508-880-0926
Practice Address - Street 1:2007 BAY ST
Practice Address - Street 2:STE 101
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:508-880-3121
Practice Address - Fax:508-880-0926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA44394207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1277OtherHARVARD PILGRIM
MA600550OtherTUFTS HEALTH PLAN
MA9764143Medicaid
M15244Medicare ID - Type Unspecified
MA9764143Medicaid