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Contact Information

NORTHWEST ALLERGY, P.C.
72A PARK LANE RD
NEW MILFORD, CT06776-2325
 Phone: 860-354-0464
 Fax: 860-350-3268
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for NORTHWEST ALLERGY PC · (Female)

NPI # 1073717351
Status Active
Credentials
Entity Individual
Enumeration date 06/12/2007
Last updated 09/28/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 033471
  • CT Medicaid 001334713
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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