Provider Demographics
NPI:1962772715
Name:TOTAL ALLERGY CARE PC
Entity type:Organization
Organization Name:TOTAL ALLERGY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KISHORE
Authorized Official - Middle Name:
Authorized Official - Last Name:AHUJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-636-8844
Mailing Address - Street 1:748 BUCHANAN CT
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1702
Mailing Address - Country:US
Mailing Address - Phone:732-636-8844
Mailing Address - Fax:973-785-1408
Practice Address - Street 1:1 WOODBRIDGE CTR STE 400
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1159
Practice Address - Country:US
Practice Address - Phone:732-636-8844
Practice Address - Fax:973-785-1408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ142213207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty