Organization
NORTHWEST ALLERGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA LAURIE KWITTKEN M.D. (PRESIDENT)
(860) 354-0464
Entity
Organization
Contact information
Practice address
72A PARK LANE RD, NEW MILFORD, CT 06776-2325
(860) 354-0464
(860) 350-3268
Mailing address
PO BOX 1317, NEW MILFORD, CT 06776-1317
(860) 354-0464
(860) 350-3268
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
033471
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001334713
—
CT
Enumeration date
06/12/2007
Last updated
09/28/2012
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