Ear Nose & Throat Medical and Surgical Group, LLC
NPI #1679835086 in New Haven, Connecticut
Provider Information
- NPI Number
- 1679835086
- Entity Type
- Organization
- Organization Name
- Ear Nose & Throat Medical and Surgical Group, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 12, 2012
- Last Updated
- Jul 16, 2012
Practice Location
- Address
- 46 PRINCE ST STE 601
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06519-1634
- Phone
- (203) 752-1726
Authorized Official
- Name
- DR. AGNES CZIBULKA, MD
- Title
- PHYSICIAN PARTNER
- Phone
- (203) 234-1324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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