Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou
Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou is a Specialist 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
Phone: (203) 777-7500
Fax: (203) 777-8469
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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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