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 |