Provider Demographics
NPI:1851411169
Name:BRANFORD PEDIATRICS & ALLERGY, P.C.
Entity Type:Organization
Organization Name:BRANFORD PEDIATRICS & ALLERGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:F
Authorized Official - Last Name:BAINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-481-7008
Mailing Address - Street 1:784 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2918
Mailing Address - Country:US
Mailing Address - Phone:203-481-7008
Mailing Address - Fax:
Practice Address - Street 1:784 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2918
Practice Address - Country:US
Practice Address - Phone:203-481-7008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
Not Answered2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Multi-Specialty