Healthcare Provider Details

I. General information

NPI: 1821084617
Provider Name (Legal Business Name): ALLERGIC DISEASES & ASTHMA ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 MCKNIGHT EAST DR
PITTSBURGH PA
15237-6437
US

IV. Provider business mailing address

3801 MCKNIGHT EAST DR
PITTSBURGH PA
15237-6437
US

V. Phone/Fax

Practice location:
  • Phone: 412-367-7788
  • Fax: 412-367-1060
Mailing address:
  • Phone: 412-367-7788
  • Fax: 412-367-1060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARY C MCCAFFREY
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 412-367-7788