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ALLERGY AND ASTHMA CARE OF FAIRFIELD COUNTY LLC NPI 1710098645


NPI Information

NPI: 1710098645
Provider Name: ALLERGY AND ASTHMA CARE OF FAIRFIELD COUNTY, LLC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
55 WALLS DR
STE 405
FAIRFIELD, CT
ZIP 06824
Phone: (203) 259-7070
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ALLERGY AND ASTHMA CARE OF FAIRFIELD COUNTY, LLC is an allergy immunology in Fairfield, 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 AND ASTHMA CARE OF FAIRFIELD COUNTY, LLC NPI is 1710098645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

55 WALLS DR
STE 405
FAIRFIELD, CT
ZIP 06824-163
Phone: (203) 259-7070
Fax: (203) 254-7402

The provider's authorized official is Kenneth S. Backman .
The authorized official title is President and has the following contact phone number (203) 259-7070.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/6/2007.


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 & Immunology038854CONNECTICUTYes

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
1G35188MEDICARE UPIN
27914842006OTHERCONNECTICUTCIGNA
3038854OTHERCONNECTICUTCONNECTICARE
4010038854CT02OTHERCONNECTICUTANTHEM
5C02890MEDICARE PINCONNECTICUT
60V8243OTHERCONNECTICUTHEALTHNET
71439465OTHERCONNECTICUTUNITED HEALTHCARE
8P861731OTHERCONNECTICUTOXFORD

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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