Doctor Name: | MS. ALISON P LOOP |
NPI Number: | 1174754782 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 004099 |
Business Practice Address: | 1 Salem St Cos Cob, CT - 068072624 |
Business Phone Number: | 2033275437 |
Business Fax Number: | 2036228332 |
Mailing Address: | 1 Salem St, COS COB |
State: | CT |
Postal Code: | 068072624 |
Phone Number: | 2033275437 |
Fax Number: | 2036228332 |
NPI Enumeration Date: | 07/30/2009 |
NPI Last Update Date: | 07/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 004099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |