Buckland Ear Nose & Throat LLC

NPI #1881884641 in Manchester, Connecticut

Provider Information

NPI Number: 1881884641
Entity Type: Organization
Organization Name: Buckland Ear Nose & Throat LLC
Primary Specialty: Specialist
Enumeration Date: Jul 27, 2007
Last Updated: Dec 29, 2015

Practice Location

Address: 360 TOLLAND TPKE
Address 2: SUITER 1E
City: Manchester
State: Connecticut
ZIP Code: 06042-1771
Phone: (860) 645-6675

Authorized Official

Name: MRS. BETSY GRAVES
Title: OFFICE MANAGER
Phone: (860) 645-6675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	235500000X
Durable Medical Equipment & Medical Supplies	332B00000X
Specialist	174400000X	Primary

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