NORTHWEST ALLERGY, P.C. (NPI# 1073717351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073717351 |
Entity Type | Organization |
Organization Name | NORTHWEST ALLERGY, P.C. |
Practice Address |
72a Park Lane Rd New Milford CT 06776-2325 |
Mailing Address |
Po Box 1317 New Milford CT 06776-1317 |
Practice Telephone | 8603540464 |
Practice Fax Number | 8603503268 |
Mailing Telephone | 8603540464 |
Mailing Fax Number | 8603503268 |
Enumeration Date | 2007-06-12 |
Last Update Date | 2012-09-28 |
Authorized Official Name | DR. PAMELA LAURIE KWITTKEN (PRESIDENT) |
Authorized Official Telephone | 8603540464 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
033471 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 001334713 | 05 |
Street Address |
72A PARK LANE RD |
City | NEW MILFORD |
State | CT |
Zip Code | 06776-2325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
1477715035 | Abra Grize Mabasa | Family Medicine | 169 Danberry Rd., New Milford, CT 06776 | 2008-06-25 |
1134393259 | Brian A Fusillo | Dentist | One Aspetuck Ave, New Milford, CT 06776 | 2008-04-18 |
1972791499 | New Milford Chiropractic | Chiropractor | 5 Old Town Park Road, South End Plaza Unit 70, New Milford, CT 06776 | 2007-10-10 |
1366637084 | Mary Mackessy | Emergency Medicine | 21 Elm Street, New Milford, CT 06776 | 2007-09-06 |
1659407021 | Margaret Martha Babington | Specialist/Technologist | 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 | 2007-02-27 |
1053448456 | Lisa Gay Witham | Specialist/Technologist | 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 | 2007-02-27 |
1710049754 | Linda Gail Smith | Social Worker | New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 | 2006-12-15 |
1881777597 | Candlewood New Milford LLC | Skilled Nursing Facility | 30 Park Lane East, New Milford, CT 06776 | 2006-10-24 |
1417030651 | Interface Center Inc | Counselor | 46 Danbury Rd, Suite 6, New Milford, CT 06776 | 2006-10-23 |
Find all providers in zip 06776 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447676127 | Robert Louis Debernardo Sr. | Allergy & Immunology | 15 Essex Ln, Trumbull, CT 06611-1005 | 2014-03-05 |
1366504227 | Connecticut Medical Group, LLC | Allergy & Immunology | 2989 Dixwell Ave, Hamden, CT 06518-3501 | 2006-12-15 |
1467537290 | Starling Physicians, PC | Allergy & Immunology | 2110 Silas Deane Hwy, Rocky Hill, CT 06067-2313 | 2006-10-27 |
1881785673 | Mitchell Ross Lester | Allergy & Immunology | 148 E Avenue, Ste 3g, Norwalk, CT 06851 | 2006-09-27 |
1871523936 | Bruce E Englander | Allergy & Immunology | 160 Farmington Ave, Bristol, CT 06010-4218 | 2006-07-04 |
1578530507 | Pamela Laurie Kwittken | Allergy & Immunology | 40 Commerce Park, Milford, CT 06460-3535 | 2006-03-08 |
1316924749 | Doron J Ber | Allergy & Immunology | 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 | 2005-12-28 |
1437142551 | Christopher Cronin Randolph | Allergy & Immunology | 1389 W Main St, Suite 205, Waterbury, CT 06708-3104 | 2005-08-24 |
1558367698 | Romana Primus | Allergy & Immunology | 1 Shaws Cv, New London, CT 06320-4902 | 2005-06-23 |
1285630798 | William James Rockwell | Allergy & Immunology | 4675 Main St, Bridgeport, CT 06606-1813 | 2005-06-21 |
Find all providers with the same taxonomy |
City | NEW MILFORD |
Zip Code | 06776 |
Please comment or provide details below to improve the information on NORTHWEST ALLERGY, P.C..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.