Organization
ALLERCENTER 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIMMARON MERRITT (COMPLIANCE OFFICER)
(203) 667-3192
Entity
Organization
Contact information
Practice address
35 MILL STONE CIR, STAMFORD, CT 06903-3513
(203) 667-3192
Mailing address
35 MILL STONE CIR, STAMFORD, CT 06903-3513
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
044806
CT
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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