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Organization
SUPERIOR ASSOCIATES, P.C.
Active
Organization
SUPERIOR ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS BOUBOULIS M.D. (MEDICAL DIRECTOR)
(203) 309-5399
Entity
Organization
Contact information
Practice address
106 NOROTON AVE, INFUSION, DARIEN, CT 06820
(203) 309-5399
(203) 656-1416
Mailing address
106 NOROTON AVE, INFUSION, DARIEN, CT 06820
(203) 309-5399
(203) 656-1416
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
08/21/2014
Last updated
07/14/2015
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