Provider Demographics
NPI:1063103026
Name:CHILDREN'S LUNG ASTHMA & PULMONARY SPECIALISTS CLAPS MD
Entity type:Organization
Organization Name:CHILDREN'S LUNG ASTHMA & PULMONARY SPECIALISTS CLAPS MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:FOLASHADE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-506-2707
Mailing Address - Street 1:2025 HAMBURG TPKE STE H
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6250
Mailing Address - Country:US
Mailing Address - Phone:973-506-2707
Mailing Address - Fax:973-457-4680
Practice Address - Street 1:2025 HAMBURG TPKE STE H
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6250
Practice Address - Country:US
Practice Address - Phone:201-289-5250
Practice Address - Fax:862-310-0216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Single Specialty