Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 040346 | CT |
NPI | 1003855859 |
---|---|
Provider Name | Dr. Aimee S. Altschul-Latzman |
First Address | Fairfield, CT 06824-5849 |
Second Address | Fairfield, CT 06824-5849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 13/05/2013 |