| NPI | 1316910714 |
|---|---|
| Doing Business As | CONNECTICUT VALLEY EAR NOSE & THROAT |
| Entity Type | Organization |
| Authorized Contact | THOMAS CRAWFORD CEO 802-885-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-02-25 |