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 |
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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 |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1285075648 PECOS PAC ID: 4284860859 Enrollment ID: I20131204001331 |
Provider Name | Julie Reinhardt |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1760462337 PECOS PAC ID: 2567787666 Enrollment ID: I20200513002694 |
Provider Name | Peter Anthony Wasiuk |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1346059565 PECOS PAC ID: 7810427945 Enrollment ID: I20250205000691 |
Mailing Address | Practice Location Address |
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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 |