| Ear Specialty Group Of Connecticut Pc | |
|
40 Stanford Dr, Farmington, CT 06032-2454 | |
| (860) 640-4455 | |
| (860) 640-4478 |
| Full Name | Ear Specialty Group Of Connecticut Pc |
|---|---|
| Type | Facility |
| Speciality | Otolaryngology - Otology & Neurotology |
| Location | 40 Stanford Dr, Farmington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174005219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | (* (Not Available)) | Primary |
| Provider Name | Marc D Eisen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649345513 PECOS PAC ID: 9537161039 Enrollment ID: I20070213000559 |
| Provider Name | Susan H Rostron |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598849697 PECOS PAC ID: 1951435148 Enrollment ID: I20100810000185 |
| Provider Name | Emily Hannah Sussman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285075648 PECOS PAC ID: 4284860859 Enrollment ID: I20131204001331 |
| Provider Name | Julie Reinhardt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760462337 PECOS PAC ID: 2567787666 Enrollment ID: I20200513002694 |
| Provider Name | Peter Anthony Wasiuk |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346059565 PECOS PAC ID: 7810427945 Enrollment ID: I20250205000691 |
| Mailing Address | Practice Location Address |
|---|---|
| Ear Specialty Group Of Connecticut Pc 40 Stanford Dr, Farmington, CT 06032-2454 Ph: (860) 640-4455 | Ear Specialty Group Of Connecticut Pc 40 Stanford Dr, Farmington, CT 06032-2454 Ph: (860) 640-4455 |