OrganizationActive
Advanced Allergy Immunology & Asthma PC
NPI 1780933937 · Allergy & Immunology Physician · Stanford, CT
Provider details
- NPI number
- 1780933937
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Denis Bouboulis, Medical Doctor/Owner(203) 202-7799
- License
- 029667 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
125 Strawberry Hill Ave
Stanford, CT 06902
Phone: (203) 202-7799
Fax: (203) 656-1416
Street-level locationGet directions
Mailing address
106 Noroton Ave
Darien, CT 06820-5237
Registry dates
- Enumerated
- 2012-09-04
- Last updated
- 2013-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.