MEDICARE: ALLEGANY ALLERGY AND ASTHMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	D0046243	MD

General Provider Information

NPI Number	:	1386832772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGANY ALLERGY AND ASTHMA

Provider Business Mailing Address
First Line	:	301 WASHINGTON ST
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-2828
Country	:	US
Telephone Number	:	301-777-3300
Fax Number	:	301-777-3595

Provider Business Practice Location Address
First Line	:	301 WASHINGTON ST
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-2828
Country	:	US
Telephone Number	:	301-777-3300
Fax Number	:	301-777-3595

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEREMY MICHAEL DRELICH
Credential	:	MD
Telephone Number	:	301-777-3300

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	07/23/2024

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Directions to “ALLEGANY ALLERGY AND ASTHMA ” Practice Location

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