Organization
EAR NOSE & THROAT SPECIALISTS OF CENTRAL CONNECTICUT P.C.
Active
Other names
DR. ROBERT A. GRYBOSKI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANDRE GRYBOSKI M.D. (OTOLARYNGOLOGIST)
(860) 225-7761
Entity
Organization
Contact information
Practice address
233 MAIN ST, 5TH FLOOR, NEW BRITAIN, CT 06051-4204
(860) 225-7761
(860) 225-6657
Mailing address
233 MAIN ST, 5TH FLOOR, NEW BRITAIN, CT 06051-4204
(860) 225-7761
(860) 225-6657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12647
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004105294
—
CT
05
—
004190196
—
CT
01
—
010012647CT01
BLUE CROSS BLUE SHIELD
CT
05
—
04002630
—
CT
01
—
073071
CONNECTICARE
CT
01
—
517950
AETNA
CT
01
—
HAS700
OXFORD
CT
01
—
OR4199
HEALTHNET
CT
Enumeration date
03/20/2007
Last updated
03/26/2009
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