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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
CT038854

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS/BLUE SHIELD010038854CT02CT01
Code values:
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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