Healthcare Provider Details

I. General information

NPI: 1265431217
Provider Name (Legal Business Name): ALLENTOWN ASTHMA & ALLERGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 N CEDAR CREST BLVD SUITE 605
ALLENTOWN PA
18104-2351
US

IV. Provider business mailing address

1605 N CEDAR CREST BLVD SUITE 605
ALLENTOWN PA
18104-2351
US

V. Phone/Fax

Practice location:
  • Phone: 610-820-9000
  • Fax: 610-820-9078
Mailing address:
  • Phone: 610-820-9000
  • Fax: 610-820-9078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KI0005X
TaxonomyClinical & Laboratory Immunology (Allergy & Immunology) Physician
License NumberMD423801
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberVP004607D
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207KI0005X
TaxonomyClinical & Laboratory Immunology (Allergy & Immunology) Physician
License NumberMD045375E
License Number StatePA

VIII. Authorized Official

Name: HOWARD AARON ISRAEL
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 610-820-9000