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NPI Code Detail

MEDICARE: CHOICE ALLERGY AND SINUS CARE PC

MEDICARE: CHOICE ALLERGY AND SINUS CARE PC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1962538165
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOICE ALLERGY AND SINUS CARE PC
Provider Business Mailing Address
First Line : 1406 PARK AVE
Second Line : 1400 PARK AVE
City : PLAINFIELD
State : NJ
Zip : 07060-2911
Country : US
Telephone Number : 908-753-9757
Fax Number : 908-755-1414
Provider Business Practice Location Address
First Line : 1406 PARK AVE
Second Line : 1400 PARK AVE
City : PLAINFIELD
State : NJ
Zip : 07060-2911
Country : US
Telephone Number : 908-753-9757
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RAMAKUMAR VENKATA RAYASAM
Credential : M.D
Telephone Number : 908-753-9757
Provider Enumeration Date : 02/24/2007
Last Update Date : 08/22/2020

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Directions to “CHOICE ALLERGY AND SINUS CARE PC ” Practice Location

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