Chelmsford, MA  North Andover, MA Nashua, NH
978-256-4531 978-689-8890 603-881-7433




In observance of



Columbus Day



We will be CLOSED on



Monday October 12, 2015.





Introduction of Peanuts to Infants

Interim Guidance from expert panel regarding early peanut introduction- (LEAP) study

There is now scientific evidence (Level 1 evidence from a randomized controlled trial) that health care providers should recommend introducing peanut-containing products into the diets of “high-risk” infants early on in life (between 4 and 11 months of age) in countries where peanut allergy is prevalent because delaying the introduction of peanut can be associated with an increased risk of peanut allergy.




Infants with early-onset atopic disease, such as severe eczema, or egg allergy in the first 4 to 6 months of life might benefit from evaluation by an allergist or physician trained in management of allergic diseases in this age group to diagnose any food allergy and assist in implementing these suggestions regarding the appropriateness of early peanut introduction. Evaluation of such patients might consist of performing peanut skin testing, in-office observed peanut ingestion, or both, as deemed appropriate after discussion with the family. The clinician can perform an observed peanut challenge for those with evidence of a positive peanut skin test response to determine whether they are clinically reactive before initiating at-home peanut introduction. Both strategies were used in the LEAP study protocol.






Meet Our Doctors

Julian Melamed, MD, ABIM, ABAI

Angela Ahuja Malik MD, ABPD, ABAI

Li Liang, MD, PhD, ABAI

Ami Mehra, MD, ABIM, ABAI


Our allergists are board certified in pediatric and adult Allergy and Immunology, and have trained at some of the top training programs in the country, including Harvard Medical School, National Jewish Respiratory Center and Albert Einstein Medical College.  We participate in the Maintenance of Certification Program. Click here to read more about this program. Dr. Melamed and Liang have both been awarded the prestigious Top Doctor Awards for 2011.





Flu shots are now available in all of our offices. These will be given during our regular shot hours as well as with appointments. We recommend flu shots for all of our patients.
Please call the office if you have a history of an egg allergy to see if you need to make an appointment since there is a very small amount of egg protein within the vaccine.
Also, please be sure to have had an office visit with one of our providers within the last year.
If you have any questions please contact the office.