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Organization
NORTHEASTERN ASTHMA & ALLERGY ASSOCIATES, LLC
Active
Organization
NORTHEASTERN ASTHMA & ALLERGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WASSERSTEIN MD (PHYSICIAN)
(860) 928-5864
Entity
Organization
Contact information
Practice address
330 POMFRET ST, PUTNAM, CT 06260-1854
(860) 928-5864
(860) 928-5865
Mailing address
330 POMFRET ST, PUTNAM, CT 06260-1854
(860) 928-5864
(860) 928-5865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
032853
CT
207K00000X
Allergy & Immunology Physician
—
NULL
207K00000X
Allergy & Immunology Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
02/20/2014
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