| NPI | 1174005219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HANNAH ROSTRON Director Of Operations 860-640-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-11-02 |