Edward Allen, M.D.
Individual provider Active NPI Psychiatry Physician · Guilford, CT
NPI 1700967601 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700967601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 9399 (CT)
- Practice address
- 504 Goose LN
Guilford, CT 06437-2101 - Phone
- (203) 453-5554
- NPI assigned
- Oct 18, 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)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9399 | CT | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9399 | CT | Yes |
Addresses
Primary practice location
504 Goose LN
Guilford, CT 06437-2101
Mailing address
504 Goose LN
Guilford, CT 06437-2101
Phone (203) 453-5554
Other providers in Guilford, CT
- Sara Elizabeth Alberti
- Deborah B Alexa
- Alis Volat Propriis Place, LLC
- Michael Allegrini
- Mitzi Allen-Harris
- Allison B Resnick D.C. LLC
- Karina Rosana Altieri
- Kejal Amin
- Jessica Anastasio
- Jane Zimmermann Andersen
All providers in Guilford, CT · Psychiatry Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.