Organization
CONNECTICUT ALLERGY & ASTHMA ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL B GOLDBERG MD (PHYSICIAN PRESIDENT)
(203) 371-6060
Entity
Organization
Contact information
Practice address
4641 MAIN ST, BRIDGEPORT, CT 06606
(203) 371-6060
(203) 371-1977
Mailing address
4641 MAIN ST, BRIDGEPORT, CT 06606
(203) 371-6060
(203) 371-1977
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
020804
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1208040
—
CT
Enumeration date
05/09/2008
Last updated
10/15/2008
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