| NPI | 1881880813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARI J NAMON President 860-364-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 034947) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CT 034947) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2013-08-22 |