# LUIS ALONSO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatric & Adolescent Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629138748
- **Authorized official:** MR. JAMES D. CONCATO (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (203) 294-6328

## Contact information

- **Practice address:** 1062 BARNES RD, SUITE 102, WALLINGFORD, CT 06492-6012
- **Practice address phone:** (203) 294-6328
- **Practice address fax:** (203) 294-6346
- **Mailing address:** 1062 BARNES RD, SUITE 102, WALLINGFORD, CT 06492-6012
- **Mailing address phone:** (203) 294-6328
- **Mailing address fax:** (203) 294-6346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 09/11/2025