Individual
DR. ALLA ROMAN KOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-7000
Mailing address
1055 WASHINGTON BLVD, SUITE 440, STAMFORD, CT 06901-2216
(203) 348-2614
(206) 325-8677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
041678
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001416785
—
CT
Enumeration date
02/28/2007
Last updated
07/15/2014
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