Kwittken, Pamela Laurie
Kwittken, Pamela Laurie is an individual health care provider with primary practice located at 40 Commerce Park , Milford CT 06460-3535. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy is her primary health care specialty. Kwittken, Pamela Laurie can be contacted via phone (203) 795-9795.Contact Information
Primary practice address
40 Commerce Park
Milford CT 06460-3535
Phone: (203) 795-9795
Fax: (203) 795-0482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 033471 | Connecticut |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 177320 | New York |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 25MA07491400 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 033471 | Connecticut |
Profile Details
| NPI number | 1578530507 |
|---|---|
| LBN Legal business name | Kwittken, Pamela Laurie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 25th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578530507 | NPPES |
| Connecticut | MEDICAID | 001334713 |
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