Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou
Otolaryngology, Otolaryngology/Facial Plastic Surgery in New Haven, Connecticut
1215164058- Practice location
- One Long Wharf Drive, Suite #302, New Haven, CT 06511-5593
- Phone
- 203-777-7500
- Fax
- 203-777-8469
- Last updated
- November 3, 2015
Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou is a healthcare organization based in New Haven, CT. Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou practices in New Haven, CT. The NPI Number for Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou is 1215164058 and holds a License No. 034314 (CT). The current practice location address for Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou is One Long Wharf Drive, Suite #302, New Haven, CT 06511-5593 and can be reached out via phone at 203-777-7500 and via fax at 203-777-8469.
Provider Profile Details
- NPI Number
- 1215164058
- Provider Name
- Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou
- Provider Entity Type
- Organization
- Address
- One Long Wharf Drive, Suite #302, New Haven, CT 06511-5593
- Phone Number
- 203-777-7500
- Fax Number
- 203-777-8469
- Primary Taxonomy
- Otolaryngology, Otolaryngology/Facial Plastic Surgery · 207YX0905X
- Organization Subpart
- No
- Authorized Official
- Mrs. Eiizabeth Irene Sullivan · Ceo · 203-777-7500
- Provider Enumeration Date
- June 19, 2009
- Last Update Date
- November 3, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- One Long Wharf Drive
Suite #302
New Haven, CT 06511-5593 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-5593
- Phone Number
- 203-777-7500
- Fax Number
- 203-777-8469
Provider Business Mailing Address Details
- Address
- One Long Wharf Drive
Suite #302
New Haven, CT 06511-5593 - City
- New Haven
- State
- CT
- Zip
- 06511-5593
- Phone Number
- 203-777-7500
- Fax Number
- 203-777-8469
License Information
- License Number (1)
- 034314
- License State (1)
- CT
- Taxonomy (1)
- Specialist · 174400000X
- Taxonomy (2)
- Otolaryngology, Otolaryngology/Facial Plastic Surgery · 207YX0905X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou?
The NPI number of Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou is 1215164058. It was assigned on June 19, 2009 and is currently active in the NPPES registry.
What is the specialty of Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou?
Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou is registered under the primary taxonomy Otolaryngology, Otolaryngology/Facial Plastic Surgery (code 207YX0905X), licensed in CT under license number 034314.
Where does Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou practice?
The practice location is One Long Wharf Drive, Suite #302, New Haven, CT 06511-5593. The office can be reached at 203-777-7500 (phone) or 203-777-8469 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215164058 directly on the NPPES registry website.