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Organization
ALLERGY AND ASTHMA CARE OF FAIRFIELD COUNTY, LLC
Active
Organization
ALLERGY AND ASTHMA CARE OF FAIRFIELD COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S. BACKMAN M.D. (PRESIDENT)
(203) 259-7070
Entity
Organization
Contact information
Practice address
55 WALLS DR, STE 405, FAIRFIELD, CT 06824-5163
(203) 259-7070
(203) 254-7402
Mailing address
55 WALLS DR, SUITE 405, FAIRFIELD, CT 06824-5163
(203) 259-7070
(203) 254-7402
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
038854
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010038854CT02
ANTHEM
CT
01
—
038854
CONNECTICARE
CT
01
—
0V8243
HEALTHNET
CT
01
—
1439465
UNITED HEALTHCARE
CT
01
—
7914842006
CIGNA
CT
01
—
P861731
OXFORD
CT
Enumeration date
08/31/2006
Last updated
09/06/2007
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