MEDICARE: ALLERGY AND ASTHMA SPECIALISTS, LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		VA

General Provider Information

NPI Number	:	1326022880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY AND ASTHMA SPECIALISTS, LTD.

Provider Business Mailing Address
First Line	:	1704 SIR WILLIAM OSLER DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3003
Country	:	US
Telephone Number	:	757-481-4383
Fax Number	:	757-481-4611

Provider Business Practice Location Address
First Line	:	1704 SIR WILLIAM OSLER DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3003
Country	:	US
Telephone Number	:	757-481-4383
Fax Number	:	757-481-4611

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MARIANNE S PERRY
Credential	:
Telephone Number	:	757-481-4383

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	12/19/2007

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Practice Location Address:

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1588665137 — MR. GARY BLAIR MOSS MD
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23454-3003

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Practice Fax: 757-481-4611

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Practice Location Address:

1704 SIR WILLIAM OSLER DR
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1043290646 — MARGUERITE SLINGLUFF LENGKEEK M.D.
Practice Location Address:

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23454-3003

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1285600320 — DR. MORRIS M ELSTEIN M.D.
Practice Location Address:

1744 SIR WILLIAM OSLER DR
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23454-3003

Practice Phone: 757-481-4036
Practice Fax: 757-481-5435

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