Eastern Connecticut Ear, Nose & Throat Pc in Willimantic - Facial Plastic Surgery
Eastern Connecticut Ear, Nose & Throat Pc - NPI 1861560922
Eastern Connecticut Ear, Nose & Throat Pc is a Facial Plastic Surgery in Willimantic, Connecticut. Eastern Connecticut Ear, Nose & Throat Pc practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Eastern Connecticut Ear, Nose & Throat Pc is 1861560922. The last update date is 2018-02-22.
Eastern Connecticut Ear, Nose & Throat Pc's current location address is 36 Watson St, Willimantic, Connecticut. You can contact this provider via phone number 8604560287 and fax number 8604563532. The mailing address for Eastern Connecticut Ear, Nose & Throat Pc is 36 Watson St, Willimantic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastern Connecticut Ear, Nose & Throat Pc |
|---|---|
| Address | 36 Watson St, Willimantic, Connecticut |
| Phone Number | 8604560287 |
| Fax Number | 8604563532 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Tino Debra |
| Telephone Number | 8604560287 |
NPI Number Detail
| NPI Number | 1861560922 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2018-02-22 |
Provider Mailing Address Detail
| Address | 36 Watson St |
|---|---|
| City | Willimantic |
| State | Connecticut (CT) |
| Post Code | 62262122 |
| Phone Number | 8604560287 |
| Fax Number | 8604563532 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4170742 | CT | -- | |
| 4054151 | CT | -- |
Post Comment/ Review Below
What is the Eastern Connecticut Ear, Nose & Throat Pc's unique identification number?
The Eastern Connecticut Ear, Nose & Throat Pc has been assigned the NPI (National Provider Identifier) Number 1861560922 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Eastern Connecticut Ear, Nose & Throat Pc's facilities are geographically located?
The facilities of Eastern Connecticut Ear, Nose & Throat Pc are physically situated at the following location: 36 Watson St, Willimantic, CT, 62262122.
What is the Eastern Connecticut Ear, Nose & Throat Pc's area of specialization and corresponding taxonomy classification?
The Eastern Connecticut Ear, Nose & Throat Pc's specialty field is Facial Plastic Surgery, and it falls under the taxonomy code 207Ys0123X, which categorizes healthcare providers based on their specialties.
On what date did Eastern Connecticut Ear, Nose & Throat Pc receive its 1861560922 assignment from the Centers for Medicare & Medicaid Services?
The Eastern Connecticut Ear, Nose & Throat Pc was assigned its 1861560922 on 2006-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Eastern Connecticut Ear, Nose & Throat Pc most recently updated or revised?
The information pertaining to Eastern Connecticut Ear, Nose & Throat Pc, including its address, specialty, and other relevant details, was last updated or revised on 2018-02-22.
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