# NORTHEASTERN ASTHMA & ALLERGY ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124228960
- **Authorized official:** DR. DAVID WASSERSTEIN MD (PHYSICIAN)
- **Authorized official phone:** (860) 928-5864

## Contact information

- **Practice address:** 330 POMFRET ST, PUTNAM, CT 06260-1854
- **Practice address phone:** (860) 928-5864
- **Practice address fax:** (860) 928-5865
- **Mailing address:** 330 POMFRET ST, PUTNAM, CT 06260-1854
- **Mailing address phone:** (860) 928-5864
- **Mailing address fax:** (860) 928-5865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 032853 | CT | — |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 02/20/2014