Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 002826 | CT |
NPI | 1609967496 |
---|---|
Provider Name | Audrey C Bregante |
First Address | Norwalk, CT 06851 |
Second Address | Norwalk, CT 06851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 08/10/2020 |