SOUTHERN NEW ENGLAND EAR, NOSE, THROAT AND FACIAL PLASTIC SURGERY GROU
NPI 1215164058
Otolaryngology - Otolaryngology/Facial Plastic Surgery in New Haven, CT

Active since June 19, 2009
ONE LONG WHARF DRIVE, SUITE #302, NEW HAVEN, CT 06511(203) 777-7500(203) 777-8469 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN NEW ENGLAND EAR, NOSE, THROAT AND FACIAL PLASTIC SURGERY GROU (NPI 1215164058) is a healthcare organization registered as an otolaryngology/facial plastic surgery in New Haven, Connecticut and active in the NPI registry since June 2009. The organization lists Eiizabeth Irene Sullivan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215164058
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameSOUTHERN NEW ENGLAND EAR, NOSE, THROAT AND FACIAL PLASTIC SURGERY GROU
Location AddressONE LONG WHARF DRIVE, SUITE #302New Haven, CT 06511-5593
Mailing AddressOne Long Wharf Drive, Suite #302New Haven, CT 06511-5593 · (203) 777-7500 · Fax (203) 777-8469
Fax(203) 777-8469
Organization SubpartNo
Authorized OfficialEiizabeth Irene SullivanCeo · (203) 777-7500
Enumeration DateJune 19, 2009
Last NPPES UpdateNovember 3, 2015
NPI 1215164058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedSpecialistTaxonomy 174400000X · License 034314 (CT)
ONE LONG WHARF DRIVE, New Haven, CT 06511

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
ONE LONG WHARF DRIVE, SUITE #302
NEW HAVEN, CT 06511
Otolaryngology
ONE LONG WHARF DRIVE, SUITE 302
NEW HAVEN, CT 06511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou's NPI number?

The NPI number for Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou is 1215164058. It was assigned to this organization in the NPPES registry on June 19, 2009.

Where is Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou located?

Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou is located at One Long Wharf Drive Suite #302, New Haven, CT 06511. The listed phone number is (203) 777-7500.

What is Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou was last updated on November 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.