Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ear Nose & Throat Medical and Surgical Group, LLC

Organization Nurse Practitioner · NPI 1679835086

Ear Nose & Throat Medical and Surgical Group, LLC provides Nurse Practitioner services in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

46 Prince St Ste 601
New Haven, CT 06519-1634 Not confirmed with CMS for 14 years — call before visiting
Phone: (203) 752-1726
Fax: (203) 752-1838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 004907 (CT)

Record details

NPI number1679835086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Agnes Czibulka — Physician Partner · (203) 234-1324
NPI enumeratedJune 12, 2012
Last updated in NPPESJuly 16, 2012
Mailing address31 Broadway, North Haven, CT 06473-2304

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