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Daniel Leroy Waggoner, MD
Allergy Physician in Mystic, Connecticut
NPI 1558406066

Daniel Leroy Waggoner is an Allergy Physician based in Mystic, CT and is specialized in Allergy. Daniel Leroy Waggoner practices in Mystic, CT and has the professional credentials of MD. The NPI Number for Daniel Leroy Waggoner is 1558406066 and holds a License No. 045087 (Connecticut).

The current practice location address for Daniel Leroy Waggoner is 23 Clara Dr, Mystic, CT and can be reached out via phone at 860-536-2995 and via fax at 860-572-0265.

Location: 23 Clara Dr, Mystic, CT, 06355-1959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558406066
Provider Name
Daniel Leroy Waggoner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
23 Clara Dr, Mystic, CT, 06355-1959
Phone Number
860-536-2995
Fax Number
860-572-0265
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
23 Clara Dr
City
Mystic
State
Connecticut
Zip
06355-1959
Phone Number
860-536-2995
Fax Number
860-572-0265
person
Provider Business Mailing Address Details
Address
23 Clara Dr
City
Mystic
State
Connecticut
Zip
06355-1959
Phone Number
860-536-2995
Fax Number
860-572-0265
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
-
Taxonomy
207K00000X
License No.
45087 (Connecticut)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
045087 (Connecticut)
Definition
Definition to come...
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