Organization · Type 2 NPI
Pediatric Ear, Nose & Throat Associates, P.c.
Medical Specialty Clinic/Center · West Hartford, CT
Practice location
65 Lasalle Rd
West Hartford, CT 06107-2374
Fax (860) 232-2750
Mailing address
78 Pilgrim Rd
West Hartford, CT 06117-2243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 035460 (CT) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
About NPI 1477912988
Pediatric Ear, Nose & Throat Associates, P.c.'s National Provider Identifier is 1477912988, issued on Feb 12, 2016. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in West Hartford, CT. The record was last updated on Feb 12, 2016.