Allergy and Asthma Consultants of Fairfield County, LLC
Organization Active NPI Allergy & Immunology Physician · Fairfield, CT
NPI 1992043483 · NPPES record last updated May 9, 2013
Key facts
- NPI
- 1992043483
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- Legal business name
- ALLERGY AND ASTHMA CONSULTANTS OF FAIRFIELD COUNTY, LLC
- Practice address
- 140 Sherman St FL 3
Fairfield, CT 06824-5849 - Phone
- (203) 955-1461
- Fax
- (203) 955-1464
- NPI assigned
- Jan 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Aimee Altschul-Latzman, M.D.
- Title
- Physician Sole Member
- Phone
- (646) 872-6795
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130619000443 | CT | Part B Supplier - Clinic/Group Practice | 4880833078 |
Receives reassigned benefits from 1 practitioner Practice locations: Fairfield, CT |
National Provider Directory
Locations
140 Sherman St
Fl 3
Fairfield, CT 06824
Phone (203) 538-5682
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | CT | Yes |
Addresses
Primary practice location
140 Sherman St FL 3
Fairfield, CT 06824-5849
Mailing address
140 Sherman St FL 3
Fairfield, CT 06824-5849
Phone (203) 955-1461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003855859 | Other | CT | INDIVIDUAL NPI NUMBER |
Other providers in Fairfield, CT
- Alfonse Campo, MD,LLC
- Alfred Sofer, MD, LLC
- Align Sports Therapy
- Debra M Allen
- Allergy and Asthma Care of Fairfield County, LLC
- Allure Dental Group Corp
- Nicholas Almonte
- Alta Heath Practice LLC
- Eric Louis Alter
- Aimee S. Altschul-Latzman
All providers in Fairfield, 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 May 9, 2013. 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.