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EASTERN CONNECTICUT EAR NOSE & THROAT PC NPI 1861560922


NPI Information

NPI: 1861560922
Provider Name: EASTERN CONNECTICUT EAR, NOSE & THROAT PC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
36 WATSON ST
WILLIMANTIC, CT
ZIP 06226
Phone: (860) 456-0287
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EASTERN CONNECTICUT EAR, NOSE & THROAT PC is an otolaryngology in Willimantic, 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. EASTERN CONNECTICUT EAR, NOSE & THROAT PC NPI is 1861560922. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

36 WATSON ST
WILLIMANTIC, CT
ZIP 06226-122
Phone: (860) 456-0287
Fax: (860) 456-3532

The provider's authorized official is Debra Tino .
The authorized official title is Practice Manager and has the following contact phone number (860) 456-0287.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 2/22/2018.


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
2207YS0123XOtolaryngologyFacial Plastic SurgeryNo
3207YX0602XOtolaryngologyOtolaryngic AllergyNo
4332S00000XHearing Aid Equipment000208CONNECTICUTNo

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
1004170742MEDICAIDCONNECTICUT
2004054151MEDICAIDCONNECTICUT

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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