Active NPIOrganization

Eastern Connecticut Ear, Nose & Throat PC

Otolaryngology in Willimantic, Connecticut

NPI Number1861560922
Practice location
36 Watson St, Willimantic, CT 06226-2122
Fax
860-456-3532
Last updated
February 22, 2018

Eastern Connecticut Ear, Nose & Throat PC is a healthcare organization based in Willimantic, CT. Eastern Connecticut Ear, Nose & Throat PC practices in Willimantic, CT. The NPI Number for Eastern Connecticut Ear, Nose & Throat PC is 1861560922 and holds a License No. 000208 (CT). The current practice location address for Eastern Connecticut Ear, Nose & Throat PC is 36 Watson St, Willimantic, CT 06226-2122 and can be reached out via phone at 860-456-0287 and via fax at 860-456-3532.

Provider Profile Details

NPI Number
1861560922
Provider Name
Eastern Connecticut Ear, Nose & Throat PC
Provider Entity Type
Organization
Address
36 Watson St, Willimantic, CT 06226-2122
Phone Number
860-456-0287
Fax Number
860-456-3532
Primary Taxonomy
Otolaryngology · 207Y00000X
Organization Subpart
No
Authorized Official
Debra Tino · Practice Manager · 860-456-0287
Provider Enumeration Date
November 30, 2006
Last Update Date
February 22, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Watson St
Willimantic, CT 06226-2122
Zip
06226-2122
Phone Number
860-456-0287
Fax Number
860-456-3532
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
36 Watson St
Willimantic, CT 06226-2122
City
Willimantic
State
CT
Zip
06226-2122
Phone Number
860-456-0287
Fax Number
860-456-3532

License Information

Taxonomy (1)
Otolaryngology, Facial Plastic Surgery · 207YS0123X
Taxonomy (2)
Otolaryngology, Otolaryngic Allergy · 207YX0602X
License Number (3)
000208
License State (3)
CT
Taxonomy (3)
Hearing Aid Equipment · 332S00000X
Taxonomy (4)
Otolaryngology · 207Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Eastern Connecticut Ear, Nose & Throat PC?

The NPI number of Eastern Connecticut Ear, Nose & Throat PC is 1861560922. It was assigned on November 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Eastern Connecticut Ear, Nose & Throat PC?

Eastern Connecticut Ear, Nose & Throat PC is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in CT under license number 000208.

Where does Eastern Connecticut Ear, Nose & Throat PC practice?

The practice location is 36 Watson St, Willimantic, CT 06226-2122. The office can be reached at 860-456-0287 (phone) or 860-456-3532 (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 1861560922 directly on the NPPES registry website.

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