IndividualActive
Allison Waggoner, D.O.
NPI 1497149397 · Family Medicine Physician · Vernon, CT
Provider details
- NPI number
- 1497149397
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 60561 (CT)
Practice location
428 Hartford Tpke Ste 210
Vernon, CT 06066-4841
Phone: (860) 533-4611
Fax: (860) 871-5927
Mailing address
428 Hartford Tpke Ste 210
Vernon, CT 06066-4841
Registry dates
- Enumerated
- 2015-03-27
- Last updated
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.