NPI 1306963491
Southern Maine Allergy Associates, PA
Practice location
- Address
- 28 W Cole Rd, Biddeford, ME 04005-9428
- Phone
- (207) 284-6114
- Fax
- (207) 282-6118
- Mailing address
- 1050 Wall St W STE 360, Lyndhurst, NJ 07071-3604
Authorised official
- Name
- Vassily Mihailoff
- Title
- Owner and Provider
- Phone
- (207) 284-6114
Registered specialties
Allergy Physician
Primary
Registry record
- NPI
- 1306963491
- Entity type
- Organization
- NPI issued
- 23 Mar 2007
- Record last updated
- 27 Feb 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.