Organization
EAR, NOSE & THROAT SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INKWIY KIM M.D. (PRESIDENT)
(203) 235-3345
Entity
Organization
Contact information
Practice address
1064 E MAIN ST, SUITE 302, MERIDEN, CT 06450-4898
(203) 235-3345
(203) 235-5658
Mailing address
1064 E MAIN ST, SUITE 302, MERIDEN, CT 06450-4898
(203) 235-3345
(203) 235-5658
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4002804
—
CT
01
—
CL0983
RAILROAD MEDICARE
CT
Enumeration date
08/03/2006
Last updated
10/08/2008
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