Provider Demographics
NPI:1992358055
Name:ALLERGY AND ASTHMA SPECIALISTS OF FREDERICK LLC
Entity type:Organization
Organization Name:ALLERGY AND ASTHMA SPECIALISTS OF FREDERICK LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER AND EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:ALPA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-471-7120
Mailing Address - Street 1:1921 MORAN DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-6444
Mailing Address - Country:US
Mailing Address - Phone:301-471-7120
Mailing Address - Fax:
Practice Address - Street 1:5300 WESTVIEW DR STE 102
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-8372
Practice Address - Country:US
Practice Address - Phone:240-831-4743
Practice Address - Fax:240-831-4539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty