Provider Demographics
NPI:1811098528
Name:ALLERGIC DISEASES & ASTHMA ASSOCIATES
Entity type:Organization
Organization Name:ALLERGIC DISEASES & ASTHMA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-367-7788
Mailing Address - Street 1:3801 MCKNIGHT EAST DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6437
Mailing Address - Country:US
Mailing Address - Phone:412-367-7788
Mailing Address - Fax:412-367-1060
Practice Address - Street 1:4955 STEUBENVILLE PIKE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9619
Practice Address - Country:US
Practice Address - Phone:412-788-1900
Practice Address - Fax:412-788-0360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD005134E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA015583Medicare ID - Type Unspecified
PAD68502Medicare UPIN