NPI 1629600135

Southern New England Ear, Nose, Throat & Facial Plastic Surg Grp. Lcp

Organisation Otolaryngology Physician New Haven, CT

Practice location

Address: One Long Wharf Dr. Suite #302, New Haven, CT 06511-5602
Phone: (203) 777-7500
Fax: (203) 777-8469

Authorised official

Name: Ken Yanagisawa
Title: Managing Physician
Phone: (203) 787-4244

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Connecticut →

Registry record

NPI: 1629600135
Entity type: Organization
NPI issued: 12 Feb 2020
Record last updated: 12 Feb 2020

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.