Healthcare Provider Details

I. General information

NPI: 1194154922
Provider Name (Legal Business Name): FAMILY CENTER FOR ALLERGY AND ASTHMA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 11/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 JOPPA RD
YORK PA
17403-5164
US

IV. Provider business mailing address

2605 JOPPA RD
YORK PA
17403-5164
US

V. Phone/Fax

Practice location:
  • Phone: 717-747-5777
  • Fax: 717-747-5222
Mailing address:
  • Phone: 717-747-5777
  • Fax: 717-747-5222

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: MR. MARTIN WEISS
Title or Position: OFFICE MANAGER
Credential:
Phone: 717-747-5777