Provider Demographics
NPI:1992300255
Name:VALLEN ALLERGY AND ASTHMA, PC
Entity type:Organization
Organization Name:VALLEN ALLERGY AND ASTHMA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLEN MASHIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-718-6812
Mailing Address - Street 1:1261 FURNACE BROOK PKWY STE 33
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4762
Mailing Address - Country:US
Mailing Address - Phone:617-472-7111
Mailing Address - Fax:617-376-2344
Practice Address - Street 1:1261 FURNACE BROOK PKWY STE 33
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4762
Practice Address - Country:US
Practice Address - Phone:617-472-7111
Practice Address - Fax:617-376-2344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty