Healthcare Provider Details
I. General information
NPI: 1316947757
Provider Name (Legal Business Name): ALLERGY AND ASTHMA CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1620 S QUEEN ST
YORK PA
17403-4637
US
IV. Provider business mailing address
1620 S QUEEN ST
YORK PA
17403-4637
US
V. Phone/Fax
- Phone: 717-843-6663
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
GREGORY
BUEL
LANPHER
Title or Position: PRESIDENT
Credential: MD
Phone: 717-843-6663