Active NPIOrganization

Advanced Allergy Immunology & Asthma PC

Allergy & Immunology in Stanford, Connecticut

NPI Number1780933937
Practice location
125 Strawberry Hill Ave, Stanford, CT 06902
Fax
203-656-1416
Last updated
January 14, 2013

Advanced Allergy Immunology & Asthma PC is a healthcare organization based in Stanford, CT. Advanced Allergy Immunology & Asthma PC practices in Stanford, CT. The NPI Number for Advanced Allergy Immunology & Asthma PC is 1780933937 and holds a License No. 029667 (CT). The current practice location address for Advanced Allergy Immunology & Asthma PC is 125 Strawberry Hill Ave, Stanford, CT 06902 and can be reached out via phone at 203-202-7799 and via fax at 203-656-1416.

Provider Profile Details

NPI Number
1780933937
Provider Name
Advanced Allergy Immunology & Asthma PC
Provider Entity Type
Organization
Address
125 Strawberry Hill Ave, Stanford, CT 06902
Phone Number
203-202-7799
Fax Number
203-656-1416
Primary Taxonomy
Allergy & Immunology · 207K00000X
Organization Subpart
No
Authorized Official
Denis A Bouboulis, MD · Medical Doctor/Owner · 203-202-7799
Provider Enumeration Date
September 4, 2012
Last Update Date
January 14, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Strawberry Hill Ave
Stanford, CT 06902
Zip
06902
Phone Number
203-202-7799
Fax Number
203-656-1416
Stanford, CT 06902Get directions →

Provider Business Mailing Address Details

Address
106 Noroton Ave
Darien, CT 06820-5237
City
Darien
State
CT
Zip
06820-5237
Phone Number
203-202-7799
Fax Number
203-656-1416

License Information

License Number
029667
License State
CT
Taxonomy
Allergy & Immunology · 207K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advanced Allergy Immunology & Asthma PC?

The NPI number of Advanced Allergy Immunology & Asthma PC is 1780933937. It was assigned on September 4, 2012 and is currently active in the NPPES registry.

What is the specialty of Advanced Allergy Immunology & Asthma PC?

Advanced Allergy Immunology & Asthma PC is registered under the primary taxonomy Allergy & Immunology (code 207K00000X), licensed in CT under license number 029667.

Where does Advanced Allergy Immunology & Asthma PC practice?

The practice location is 125 Strawberry Hill Ave, Stanford, CT 06902. The office can be reached at 203-202-7799 (phone) or 203-656-1416 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780933937 directly on the NPPES registry website.

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