OrganizationActive
Allergy and Asthma Care of Fairfield County, LLC
NPI 1710098645 · Allergy & Immunology Physician · Fairfield, CT
Provider details
- NPI number
- 1710098645
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Backman, President(203) 259-7070
- License
- 038854 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
55 Walls Dr
Ste 405
Fairfield, CT 06824-5163
Phone: (203) 259-7070
Fax: (203) 254-7402
Approximate (ZIP-level) locationGet directions
Mailing address
55 Walls Dr
Fairfield, CT 06824-5163
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.