EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1679835086- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 46 PRINCE ST STE 601, NEW HAVEN, CT, 065191634
- Phone
- (203) 752-1726
- Fax
- (203) 752-1838
Specialties & Taxonomies
Nurse Practitioner
Primary License: CT #004907