MEDICARE: ALLERGY AND PULMONARY ASSOC. PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207K00000X	Allergy & Immunology Physician
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
3	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1760427553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY AND PULMONARY ASSOC. PA

Provider Business Mailing Address
First Line	:	1542 KUSER RD
Second Line	:	SUITE B7
City	:	TRENTON
State	:	NJ
Zip	:	08619-3829
Country	:	US
Telephone Number	:	609-581-1400
Fax Number	:	609-585-5234

Provider Business Practice Location Address
First Line	:	1542 KUSER RD
Second Line	:	SUITE B7
City	:	TRENTON
State	:	NJ
Zip	:	08619-3829
Country	:	US
Telephone Number	:	609-581-1400
Fax Number	:	609-585-5234

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LORRAINE M LEONARDO
Credential	:	MD
Telephone Number	:	609-581-1400

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	03/15/2010

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