Organization
CENTER FOR EAR NOSE THROAT AND ALLERGY PC
Active
Other names
Head and Neck Surgery Associates PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J KROWIAK MD (PRESIDENT)
(317) 926-1056
Entity
Organization
Contact information
Practice address
12188A N MERIDIAN ST, SUITE 375, CARMEL, IN 46032
(317) 926-1056
(317) 806-2338
Mailing address
12188A N MERIDIAN ST, SUITE 375, CARMEL, IN 46032
(317) 926-1056
(317) 806-2338
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
50001873A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000101928
ANTHEM BCBS
IN
05
—
100065540
—
IN
Enumeration date
07/17/2006
Last updated
01/13/2010
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