Provider Demographics
| NPI: | 1497151666 |
|---|---|
| Name: | ALLERGY & ASTHMA SPECIALISTS, LLC |
| Entity type: | Organization |
| Organization Name: | ALLERGY & ASTHMA SPECIALISTS, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | JULIAN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MELAMED |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 978-256-4531 |
| Mailing Address - Street 1: | 9 VILLAGE SQ |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CHELMSFORD |
| Mailing Address - State: | MA |
| Mailing Address - Zip Code: | 01824-2712 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 978-256-4531 |
| Mailing Address - Fax: | 978-256-1377 |
| Practice Address - Street 1: | 9 VILLAGE SQ |
| Practice Address - Street 2: | |
| Practice Address - City: | CHELMSFORD |
| Practice Address - State: | MA |
| Practice Address - Zip Code: | 01824-2712 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 978-256-4531 |
| Practice Address - Fax: | 978-256-1377 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | ALLERGY & ASTHMA SPECIALISTS, PC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2014-11-14 |
| Last Update Date: | 2014-11-14 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology | Group - Single Specialty |