Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ear Nose & Throat Medical and Surgical Group, LLC

Organization Nurse Practitioner · NPI 1679835086

Ear Nose & Throat Medical and Surgical Group, LLC is a Nurse Practitioner 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
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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