Organization
ADVANCED ALLERGY IMMUNOLOGY & ASTHMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS A BOUBOULIS M.D (MEDICAL DOCTOR/OWNER)
(203) 202-7799
Entity
Organization
Contact information
Practice address
125 STRAWBERRY HILL AVE, STANFORD, CT 06902
(203) 202-7799
(203) 656-1416
Mailing address
106 NOROTON AVE, DARIEN, CT 06820-5237
(203) 202-7799
(203) 656-1416
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
029667
CT
Other
Enumeration date
09/04/2012
Last updated
01/14/2013
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