Koorn, Alla Roman

Koorn, Alla Roman is an individual health care provider with primary practice located at 30 Shelburne Rd , Stamford CT 06902-3628. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Koorn, Alla Roman can be contacted via phone (203) 276-7000.

Contact Information

Primary practice address
30 Shelburne Rd Stamford CT 06902-3628
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 041678 Connecticut

Profile Details

NPI number 1053448589
LBN Legal business name Koorn, Alla Roman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 15th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053448589 NPPES
Connecticut MEDICAID 001416785

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