Provider Demographics
NPI:1063603264
Name:CONSULTANTS IN ASTHMA, ALLERGY AND IMMUNOLOGY, P.A.
Entity type:Organization
Organization Name:CONSULTANTS IN ASTHMA, ALLERGY AND IMMUNOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LUKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-478-5550
Mailing Address - Street 1:22 SHAW ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-2614
Mailing Address - Country:US
Mailing Address - Phone:973-478-5550
Mailing Address - Fax:
Practice Address - Street 1:22 SHAW ST
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-2614
Practice Address - Country:US
Practice Address - Phone:973-478-5550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
005483Medicare PIN