| Organization Name: | NORTHWEST ALLERGY, P.C. |
| NPI Number: | 1073717351 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA LAURIE KWITTKEN (PRESIDENT) |
| Mailing Address: | 72a Park Lane Rd New Milford |
| State: | CT US |
| Postal Code: | 067762325 |
| Phone Number: | 8603540464 |
| Fax Number: | 8603503268 |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 09/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 033471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |