MEDICARE: ASTHMA & ALLERGY SOLUTIONS, INC.

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	25MA02774400	NJ
2	291U00000X	Clinical Medical Laboratory	00006367	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578628889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTHMA & ALLERGY SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	858 S WHITE HORSE PIKE
Second Line	:	SUITE 6
City	:	HAMMONTON
State	:	NJ
Zip	:	08037-2031
Country	:	US
Telephone Number	:	609-567-6520
Fax Number	:	609-567-6524

Provider Business Practice Location Address
First Line	:	858 S WHITE HORSE PIKE
Second Line	:	SUITE 6
City	:	HAMMONTON
State	:	NJ
Zip	:	08037-2031
Country	:	US
Telephone Number	:	609-567-6520
Fax Number	:	609-567-6524

Authorized Official
Title or Position	:	PRESIDENT & CLINICAL DIRECTOR
Name	:	MS. NANCY L BANER
Credential	:	MD
Telephone Number	:	609-567-6520

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	04/17/2014

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