KENNETH SCOTT BACKMAN M.D.
Allergy and Immunology
Fairfield, Connecticut
Provider NPI: 1174595847
Provider Information:KENNETH SCOTT BACKMAN M.D.
Practice Location:
55 WALLS DR STE. 405 FAIRFIELD, CT 06824 US
Tel: 203-259-7070 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | CT | 038854 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS/BLUE SHIELD | 010038854CT02 | CT | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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