Organization
NEW ENGLAND FOOD ALLERGY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MARTIN FACTOR MD (MEDICAL DIRECTOR)
(860) 916-0273
Entity
Organization
Contact information
Practice address
836 FARMINGTON AVE, SUITE 138, WEST HARTFORD, CT 06119-1505
(860) 986-6099
(860) 761-2674
Mailing address
836 FARMINGTON AVE, SUITE 138, WEST HARTFORD, CT 06119-1505
(860) 986-6099
(860) 761-2674
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
031434
CT
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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