Allergy & Asthma Associates of Stamford, P.C/
Organization Active NPI Allergy & Immunology Physician · Stamford, CT
NPI 1801055231 · NPPES record last updated Jun 2, 2008
Key facts
- NPI
- 1801055231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 028644 (CT)
- Legal business name
- ALLERGY & ASTHMA ASSOCIATES OF STAMFORD, P.C/
- Practice address
- 144 Morgan St
Suite 3
Stamford, CT 06905-5433 - Phone
- (203) 324-9525
- Fax
- (203) 324-0797
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Leslie Ruth Coleman, M.D/
- Title
- President
- Phone
- (203) 324-9525
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120523000123 | CT | Part B Supplier - Clinic/Group Practice | 1355504762 |
Receives reassigned benefits from 1 practitioner Practice locations: Stamford, CT |
National Provider Directory
Locations
144 Morgan St
Ste 3
Stamford, CT 06905
Phone (203) 324-9525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | 028644 | CT | Yes |
Addresses
Primary practice location
144 Morgan St
Suite 3
Stamford, CT 06905-5433
Mailing address
144 Morgan St
Suite 3
Stamford, CT 06905-5433
Phone (203) 324-9525
Other providers in Stamford, CT
- Allen I. Troy, M.D., P.C.
- Barbara L Allen
- Kelsey Anita Allen
- Noakita Allen
- Allercenter 1 LLC
- Allergy & Asthma Center of Stamford
- Janaina T Allimant
- Amanda Margaret Alon
- Alsa Research LLC
- Melanie Alswanger
All providers in Stamford, CT · Allergy & Immunology 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 Jun 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.