Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou
Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou provides Specialist services in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.
- Licensed in
- CT
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Partly verified
One Long Wharf Dr Ste #302New Haven, CT 06511-5593 Not confirmed with CMS for 10 years — call before visiting
Phone: (203) 777-7500
Fax: (203) 777-8469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology/Facial Plastic Surgery Physician (primary) | Taxonomy 207YX0905X |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 034314 (CT) |
Record details
| NPI number | 1215164058 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eiizabeth Sullivan — Ceo · (203) 777-7500 |
| NPI enumerated | June 19, 2009 |
| Last updated in NPPES | November 3, 2015 |
| Mailing address | One Long Wharf Drive, Suite #302, New Haven, CT 06511-5593 |
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