Provider Demographics
NPI:1255576344
Name:ASTHMA ALLERGY & IMMUNOLOGY
Entity type:Organization
Organization Name:ASTHMA ALLERGY & IMMUNOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:ZIEMKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-716-0041
Mailing Address - Street 1:340 E NORTHFIELD RD STE 2B
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4892
Mailing Address - Country:US
Mailing Address - Phone:973-716-0041
Mailing Address - Fax:973-716-0042
Practice Address - Street 1:340 E NORTHFIELD RD STE 2B
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4892
Practice Address - Country:US
Practice Address - Phone:973-716-0041
Practice Address - Fax:973-716-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty