Provider Demographics
NPI:1831867472
Name:PUMA, ALISON SR
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:PUMA
Suffix:SR
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 INWOOD RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-3647
Mailing Address - Country:US
Mailing Address - Phone:203-658-3810
Mailing Address - Fax:
Practice Address - Street 1:142 INWOOD RD
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-3647
Practice Address - Country:US
Practice Address - Phone:203-658-3810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator