Henry Coleman Allen, M.D.

Individual provider Active NPI Family Medicine Physician · New Milford, CT

NPI 1285748434 · NPPES record last updated Jun 11, 2019

Key facts

NPI
1285748434
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
028978 (CT)
Practice address
10 Prospect Hill Rd
New Milford, CT 06776-3715
Phone
(860) 350-4000
Fax
(860) 355-5581
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028978CTMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 028978 CT Yes

Addresses

Primary practice location

10 Prospect Hill Rd
New Milford, CT 06776-3715

Mailing address

10 Prospect Hill Rd
New Milford, CT 06776-3715
Phone (860) 350-4000

Other identifiers

IdentifierTypeStateIssuer
00128978600MedicaidCT

Other providers in New Milford, CT

All providers in New Milford, CT · Family Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.