Individual
PAMELA LAURIE KWITTKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 COMMERCE PARK, MILFORD, CT 06460-3535
(203) 795-9795
(203) 795-0482
Mailing address
40 COMMERCE PARK, MILFORD, CT 06460-3535
(203) 795-9795
(203) 795-0482
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
033471
CT
207KA0200X
Allergy Physician
177320
NY
207KA0200X
Allergy Physician
25MA07491400
NJ
208000000X
Pediatrics Physician
033471
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001334713
—
CT
Enumeration date
03/08/2006
Last updated
07/25/2016
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