Provider Demographics
NPI:1558738450
Name:ALLERGY & ASTHMA CENTER OF MASSACHUSETTS, LLC
Entity type:Organization
Organization Name:ALLERGY & ASTHMA CENTER OF MASSACHUSETTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-232-1690
Mailing Address - Street 1:25 BOYLSTON ST
Mailing Address - Street 2:SUITE L02
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1715
Mailing Address - Country:US
Mailing Address - Phone:617-232-1690
Mailing Address - Fax:617-739-7082
Practice Address - Street 1:25 BOYLSTON ST
Practice Address - Street 2:SUITE L02
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1715
Practice Address - Country:US
Practice Address - Phone:617-232-1690
Practice Address - Fax:617-739-7082
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLERGY & ASTHMA CENTER OF MASSACHUSETTS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA60529207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty