| NPI | 1215164058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EIIZABETH IRENE SULLIVAN CEO 203-777-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 034314) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2015-11-03 |