NPI 1033140876

Edward Michael Lane, MD

Practitioner Otolaryngology Physician Bridgeport, CT

Practice location

Address: 4675 Main Street, Bridgeport, CT 06606
Phone: (203) 372-0009
Fax: (203) 372-7931
Mailing address: 300 George St Fl 6, New Haven, CT 06511-6624

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 024213 (CT)

Other Otolaryngology providers in Connecticut →

Registry record

NPI: 1033140876
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2006
Record last updated: 2 May 2016

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.