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SOUTHERN NEW ENGLAND EAR NOSE THROAT & FACIAL PLASTIC SURG GRP. LCP NPI 1629600135


NPI Information

NPI: 1629600135
Provider Name: SOUTHERN NEW ENGLAND EAR, NOSE, THROAT & FACIAL PLASTIC SURG GRP. LCP
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
ONE LONG WHARF DR.
SUITE #302
NEW HAVEN, CT
ZIP 06511
Phone: (203) 777-7500
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SOUTHERN NEW ENGLAND EAR, NOSE, THROAT & FACIAL PLASTIC SURG GRP. LCP is an otolaryngology in New Haven, CT. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. SOUTHERN NEW ENGLAND EAR, NOSE, THROAT & FACIAL PLASTIC SURG GRP. LCP NPI is 1629600135. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

ONE LONG WHARF DR.
SUITE #302
NEW HAVEN, CT
ZIP 06511-602
Phone: (203) 777-7500
Fax: (203) 777-8469

The provider's authorized official is Ken Yanagisawa .
The authorized official title is Managing Physician and has the following contact phone number (203) 787-4244.

The enumeration date for this NPI number is 2/12/2020 and was last updated on 2/12/2020.


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
1207Y00000XOtolaryngologyYes

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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