| NPI | 1861560922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA TINO Practice Manager 860-456-0287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| 332S00000X Hearing Aid Equipment (Licence: CT 000208) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-02-22 |