Main Street Allergy & Asthma, Llc

LBN: Main Street Allergy & Asthma, Llc
Main Street Allergy & Asthma, Llc is an health care organization with primary practice located at 54 E Main St , Marlton NJ 08053-2141. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. Main Street Allergy & Asthma, Llc can be contacted via phone (856) 988-0570, or through Gatti, Eugene A via phone (856) 988-0570.

Contact Information

Primary practice address
54 E Main St Marlton NJ 08053-2141
Phone: (856) 988-0570
Fax: (856) 988-0303
Website:
Map and Directions
Authorized official contact:
Name: Gatti, Eugene A Doctor of Medicine (MD)
Phone: (856) 988-0570

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X

Profile Details

NPI number 1407919194
LBN Legal business name Main Street Allergy & Asthma, Llc
DBA Doing business as
Authorized official Gatti, Eugene A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Dec 28th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407919194 NPPES
New Jersey MEDICAID 87722102

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