Healthcare Provider Details

I. General information

NPI: 1982751426
Provider Name (Legal Business Name): ARTHRITIS AND ALLERGY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 LITCHFIELD ST SUITE 101
TORRINGTON CT
06790-6669
US

IV. Provider business mailing address

538 LITCHFIELD ST SUITE 101
TORRINGTON CT
06790-6669
US

V. Phone/Fax

Practice location:
  • Phone: 860-493-1790
  • Fax: 860-496-0251
Mailing address:
  • Phone: 860-493-1790
  • Fax: 860-496-0251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY S MILLER
Title or Position: PHYSICIANOWNER
Credential: MD
Phone: 860-496-1790