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CENTER FOR ALLERGY ASTHMA & IMMUNOLOGY LLC NPI 1932297298


NPI Information

NPI: 1932297298
Provider Name: CENTER FOR ALLERGY ASTHMA & IMMUNOLOGY LLC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 07D0947369

Address:
1389 W MAIN ST
WATERBURY, CT
ZIP 06708
Phone: (203) 755-7080
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CENTER FOR ALLERGY ASTHMA & IMMUNOLOGY LLC is an allergy immunology in Waterbury, CT. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. CENTER FOR ALLERGY ASTHMA & IMMUNOLOGY LLC NPI is 1932297298. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1389 W MAIN ST
WATERBURY, CT
ZIP 06708-104
Phone: (203) 755-7080
Fax: (203) 597-5422

The provider's authorized official is Christopher Croin Randolph .
The authorized official title is Ceo and has the following contact phone number (203) 755-7080.

The CLIA number assigned to this NPI record is 07D0947369 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 10/29/2013.


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
1207K00000XAllergy & Immunology027063CONNECTICUTYes

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
1C03623MEDICARE PINCONNECTICUT

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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