Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 56612 | CT |
NPI | 1235530155 |
---|---|
Provider Name | Dr. Neetu Godhwani |
First Address | Danbury, CT 06810-4151 |
Second Address | Danbury, CT 06810-4151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2014 |
Last Update Date | 17/03/2018 |