Organization Name: | EAR NOSE & THROAT SPECIALISTS OF CENTRAL CONNECTICUT P.C. |
NPI Number: | 1508981713 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT ANDRE GRYBOSKI (OTOLARYNGOLOGIST) |
Mailing Address: | 233 Main St 5th Floor New Britain |
State: | CT US |
Postal Code: | 060514204 |
Phone Number: | 8602257761 |
Fax Number: | 8602256657 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 03/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 12647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |