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NORTHWEST ALLERGY P.C. NPI 1073717351


NPI Information

NPI: 1073717351
Provider Name: NORTHWEST ALLERGY, P.C.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
72A PARK LANE RD
NEW MILFORD, CT
ZIP 06776
Phone: (860) 354-0464
Get Directions

NORTHWEST ALLERGY, P.C. is an allergy allergy immunology in New Milford, CT. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee NORTHWEST ALLERGY, P.C. NPI is 1073717351. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

72A PARK LANE RD
NEW MILFORD, CT
ZIP 06776-325
Phone: (860) 354-0464
Fax: (860) 350-3268

The provider's authorized official is Pamela Laurie Kwittken .
The authorized official title is President and has the following contact phone number (860) 354-0464.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 9/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergy033471CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F20993MEDICARE UPINCONNECTICUT
203000114MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
3001334713MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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