NPI 1215164058

Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou

Organisation Otolaryngology/Facial Plastic Surgery Physician New Haven, CT

Practice location

Address: One Long Wharf Drive Suite #302, New Haven, CT 06511-5593
Phone: (203) 777-7500
Fax: (203) 777-8469

Authorised official

Name: Eiizabeth Irene Sullivan
Title: Ceo
Phone: (203) 777-7500

Registered specialties (2)

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X

Other Otolaryngology providers in Connecticut →

Specialist

Other Service Providers Taxonomy 174400000X Licence 034314 (CT)

Other Specialist providers in Connecticut →

Registry record

NPI: 1215164058
Entity type: Organization
NPI issued: 19 Jun 2009
Record last updated: 3 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.