=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821084617
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLERGIC DISEASES & ASTHMA ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2005
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3801 MCKNIGHT EAST DR
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15237-6437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-367-7788
-----------------------------------------------------
Fax | 412-367-1060
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3801 MCKNIGHT EAST DR
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15237-6437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-367-7788
-----------------------------------------------------
Fax | 412-367-1060
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRACTICE ADMINISTRATOR
-----------------------------------------------------
Name | MARY C MCCAFFREY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 412-367-7788
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207K00000X
-----------------------------------------------------
Taxonomy Name | Allergy & Immunology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------