Healthcare Provider Details

I. General information

NPI: 1336294248
Provider Name (Legal Business Name): ALLERGY & ASTHMA ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10597 MONTGOMERY RD SUITE 200
CINCINNATI OH
45242-4471
US

IV. Provider business mailing address

10597 MONTGOMERY RD SUITE 200
CINCINNATI OH
45242-4471
US

V. Phone/Fax

Practice location:
  • Phone: 513-793-6861
  • Fax: 513-985-2743
Mailing address:
  • Phone: 513-793-6861
  • Fax: 513-985-2743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number35041417
License Number StateOH

VIII. Authorized Official

Name: DR. LAWRENCE JAY NEWMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 513-793-6861