Unknown Individual – Allergy & Immunology Physician, NPI 1760465983

Unknown Individual is a healthcare provider. based in New haven, Connecticut. specializing in Allergy & Immunology Physician. They hold a License No. 014712 (CT). The NPI Number for Unknown Individual is 1760465983

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1760465983
Phone
(203) 785-7998
Address
PO BOX 9805
Deactivation Date
7 May 2026
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 9805, Northwest Ash Street, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States

    300 GEORGE ST, 6TH FLOOR

    NEW HAVEN, CT 065360805

    Phone: (203) 785-7998

    Type: Mailing

  • Primary Care Center, 789, Howard Avenue, New Haven, New Haven County, Connecticut, 06511, United States

    DANA BLDG - 3RD FL

    NEW HAVEN, CT 065191304

    Phone: (203) 785-4629

    Fax: (203) 785-3588

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06536)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1760465983 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to New Haven, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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