Healthcare Provider Details

I. General information

NPI: 1326802927
Provider Name (Legal Business Name): ALLERGY & ASTHMA CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 02/13/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 JOHN ROBERT THOMAS DRIVE
EXTON PA
19341
US

IV. Provider business mailing address

108 JOHN ROBERT THOMAS DRIVE
EXTON PA
19341
US

V. Phone/Fax

Practice location:
  • Phone: 610-363-0907
  • Fax: 610-363-8097
Mailing address:
  • Phone: 610-363-0907
  • Fax: 610-363-8097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MAHMOUD K EFFAT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 610-363-0907