Organization
ALLERGY ASSOCIATES OF HARTFORD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD SRINIVASAN (PRESIDENT)
(860) 246-7273
Entity
Organization
Contact information
Practice address
622 HEBRON AVE STE 104B, GLASTONBURY, CT 06033-5003
(860) 659-8904
(860) 246-5828
Mailing address
622 HEBRON AVE STE 104B, GLASTONBURY, CT 06033-5003
(860) 659-8904
(860) 246-5828
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
022206
CT
363AM0700X
Medical Physician Assistant
000644
CT
363LF0000X
Family Nurse Practitioner
003860
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004000410
—
CT
Enumeration date
04/02/2007
Last updated
11/12/2024
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