Provider Demographics
NPI:1750137972
Name:ALLERGY & ASTHMA CARE PC
Entity type:Organization
Organization Name:ALLERGY & ASTHMA CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-245-2857
Mailing Address - Street 1:101 INDUSTRIAL PARK RD UNIT 307
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-7394
Mailing Address - Country:US
Mailing Address - Phone:508-880-3121
Mailing Address - Fax:
Practice Address - Street 1:101 INDUSTRIAL PARK RD UNIT 307
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-7394
Practice Address - Country:US
Practice Address - Phone:508-880-3121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLERGY & ASTHMA CARE PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty