Pediatric Asthma Allergy Specialty Care Center

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

MD432871 Issued in PA

Legal business name

PEDIATRIC ASTHMA ALLERGY SPECIALTY CARE CENTER

Practice address

221 Martroy LN
Wallingford, PA 19086-6313

Phone

(610) 945-5785

Fax

(610) 943-2344

NPI assigned

Jun 19, 2010

Last updated

Aug 1, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Trong V Le, M.D.

Title

Allergy Immunology

Phone

(610) 943-3224

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1013238492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S CHESTER RD",
            "address_2": "STE #7",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811919",
            "telephone_number": "610-943-3224",
            "fax_number": "610-943-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MARTROY LN",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866313",
            "telephone_number": "610-945-5785",
            "fax_number": "610-943-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASTHMA ALLERGY SPECIALTY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-19",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TRONG",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ALLERGY IMMUNOLOGY",
        "authorized_official_telephone_number": "610-943-3224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PA",
            "license": "MD432871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102020613",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Fagan Owens, PTA
• Samantha E Pagano, M.S. CCC-SLP
• Kelly Park
• David Allan Parker, M.D.
• Anna Rosina Pastrick, M.S.
• Joseph Perachio, SLP
• Cecilia Platt, LPC
• Pratzner Physical Therapy LLC
• Bradley Pratzner
• Raymond Peter Puzio, O.D.

• Allergy Physician in Wallingford, PA
• Providers in Wallingford, PA by specialty
• Allergy Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.