Northwest Allergy, P.c.

NPI 1073717351 - Allergy & Immunology - 207KA0200X

NPI Details
NPI 1073717351
Enumeration Date 06/12/2007
Last Updated 09/28/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PAMELA LAURIE PAMELA
Position PRESIDENT
Phone (860) 354-0464
Fax (860) 350-3268
Practice Location
72A PARK LANE RD
NEW MILFORD CT, 06776-2325, US
Phone (860) 354-0464
Fax (860) 350-3268
Business Location
PO BOX 1317
NEW MILFORD CT, 06776-1317, US
Phone (860) 354-0464
Fax (860) 350-3268
Toxanomy
Taxonomy Code 207KA0200X
License State Connecticut
License Number 033471
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According to our database, Northwest Allergy, P.c. NPI is 1073717351, taxonomy code is 207KA0200X and license number is 033471, license state is located at Connecticut. Northwest Allergy, P.c. physically located at 72a Park Lane Rd, New Milford CT, 06776-2325. NPI Number 1033115704 has the healthcare provider type.

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1073717351 NPI number is provided on an as is basis without warranty of any kind. 1073717351 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Allergy, P.c. are for informational purposes only.