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CONNECTICUT PEDIATRIC OTOLARYNGOLOGY NPI 1750402038


NPI Information

NPI: 1750402038
Provider Name: CONNECTICUT PEDIATRIC OTOLARYNGOLOGY
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
230 BOSTON POST RD
MADISON, CT
ZIP 06443
Phone: (203) 245-0496
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CONNECTICUT PEDIATRIC OTOLARYNGOLOGY is a specialist in Madison, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CONNECTICUT PEDIATRIC OTOLARYNGOLOGY NPI is 1750402038. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

230 BOSTON POST RD
MADISON, CT
ZIP 06443-225
Phone: (203) 245-0496
Fax: (203) 245-8697

The provider's authorized official is David Karas .
The authorized official title is Owner and has the following contact phone number (203) 245-0496.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 10/27/2011.


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
12080A0000XPediatricsAdolescent Medicine035237CONNECTICUTNo
2174400000XSpecialist035237CONNECTICUTYes

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
1G29089MEDICARE UPINCONNECTICUT

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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