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ALLERGY CENTER OF CONNECTICUT P.C. NPI 1235353426


NPI Information

NPI: 1235353426
Provider Name: ALLERGY CENTER OF CONNECTICUT, P.C.

Former Legal Business Name: ALLERGY ASSOCIATES OF FAIRFIELD COUNTY, P.C.

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
4675 MAIN ST
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 374-6104
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ALLERGY CENTER OF CONNECTICUT, P.C. is an allergy immunology in Bridgeport, 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. ALLERGY CENTER OF CONNECTICUT, P.C. NPI is 1235353426. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Allergy Associates Of Fairfield County, P.c..

The provider's business location address is:

4675 MAIN ST
BRIDGEPORT, CT
ZIP 06606-813
Phone: (203) 374-6104
Fax: (203) 374-1663

The provider's authorized official is Philip Hemmers .
The authorized official title is Owner and has the following contact phone number (203) 374-6103.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 6/21/2011.


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 & ImmunologyYes

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
150ALLASFFCT01OTHERCONNECTICUTBLUE CROSS BLUE SHIELD
2G381235OTHERCONNECTICUTOXFORD GROUP NUMBER
3C03155MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTGROUP NUMBER
4004164597MEDICAIDCONNECTICUT

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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