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DR. DECIO M. DE ESCOBAR NPI 1386931277


NPI Information

NPI: 1386931277
Provider Name: DR. DECIO M. DE ESCOBAR

Other Name: COREBELLA HEALTH

Classification: Otolaryngology - 207YX0602X
Entity Type: Organization

Specialization: Otolaryngic Allergy

Address:
171 GRANDVIEW AVE
SUITE 101
WATERBURY, CT
ZIP 06708
Phone: (203) 757-9336
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DR. DECIO M. DE ESCOBAR is an otolaryngic allergy otolaryngology in Waterbury, CT. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. DR. DECIO M. DE ESCOBAR NPI is 1386931277. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Corebella Health.

The provider's business location address is:

171 GRANDVIEW AVE
SUITE 101
WATERBURY, CT
ZIP 06708-517
Phone: (203) 757-9336
Fax: (203) 757-9611

The provider's authorized official is Danelle Contois .
The authorized official title is Medical Biller and has the following contact phone number (203) 757-9336.

The enumeration date for this NPI number is 6/30/2011 and was last updated on 6/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175F00000XNaturopath000352CONNECTICUTNo
2363AM0700XPhysician AssistantMedical1139CONNECTICUTNo
3207YX0602XOtolaryngologyOtolaryngic Allergy12669CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E11589MEDICARE UPINCONNECTICUT
2040000080MEDICARE PIN
3001126697MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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