NPI 1750402038 · live from the CMS NPI Registry
Connecticut Pediatric Otolaryngology
Specialist in Madison, CT. National Provider Identifier 1750402038, active.
NPI record
| NPI | 1750402038 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Specialist 174400000X |
| Practice location | 230 Boston Post Rd, Madison, CT 06443 |
| Practice phone | 203-245-0496 |
| Enumerated | April 3, 2007 |
| Last updated | October 27, 2011 |
| Authorized official | David Karas, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine | 2080A0000X | 035237 (CT) |
| Specialist primary | 174400000X | 035237 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.