| NPI | 1659549624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MARCUS Physician 860-585-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: CT 029258) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |