Connecticut Ear Nose Throat Medical and Surgical Specialists PC

NPI #1699836197 in Trumbull, Connecticut

Provider Information

NPI Number: 1699836197
Entity Type: Organization
Organization Name: Connecticut Ear Nose Throat Medical and Surgical Specialists PC
Primary Specialty: Otolaryngology
Enumeration Date: Dec 12, 2006
Last Updated: Feb 13, 2008

Practice Location

Address: 15 CORPORATE DRIVE
Address 2: SUITE 2-8
City: Trumbull
State: Connecticut
ZIP Code: 06611
Phone: (203) 452-7081

Authorized Official

Name: TOM KENDALL COFFEY, MD
Title: PRESIDENT
Phone: (203) 452-7081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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