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ALLERGY ALLIANCE GROUP LLC NPI 1740216969


NPI Information

NPI: 1740216969
Provider Name: ALLERGY ALLIANCE GROUP LLC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 31D2256038

Address:
811 ABBOTT BLVD
FORT LEE, NJ
ZIP 07024
Phone: (201) 224-2256
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ALLERGY ALLIANCE GROUP LLC is an allergy immunology in Fort Lee, NJ. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. ALLERGY ALLIANCE GROUP LLC NPI is 1740216969. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

811 ABBOTT BLVD
FORT LEE, NJ
ZIP 07024-101
Phone: (201) 224-2256
Fax: (201) 224-5577

The provider's authorized official is Maryann Jaqueline Colenda .
The authorized official title is Md/owner and has the following contact phone number (201) 224-2256.

The CLIA number assigned to this NPI record is 31D2256038 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & Immunology25MA03161600NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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