SOUTHERN NEW ENGLAND EAR NOSE THROAT AND FACIAL PLASTIC SURGERY GROU NPI 1215164058

NPI Information

SOUTHERN NEW ENGLAND EAR, NOSE, THROAT AND FACIAL PLASTIC SURGERY GROU is an otolaryngology/facial plastic surgery otolaryngology in New Haven, CT. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. SOUTHERN NEW ENGLAND EAR, NOSE, THROAT AND FACIAL PLASTIC SURGERY GROU NPI is 1215164058. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

ONE LONG WHARF DRIVE
SUITE #302
NEW HAVEN, CT
ZIP 06511-593
Phone: (203) 777-7500
Fax: (203) 777-8469

The provider's authorized official is Eiizabeth Irene Sullivan .
The authorized official title is Ceo and has the following contact phone number (203) 777-7500.

The enumeration date for this NPI number is 6/19/2009 and was last updated on 11/3/2015.

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:

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