Organization
SOUTHERN NEW ENGLAND EAR, NOSE, THROAT & FACIAL PLASTIC SURG GRP. LCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN YANAGISAWA MD (MANAGING PHYSICIAN)
(203) 787-4244
Entity
Organization
Contact information
Practice address
ONE LONG WHARF DR., SUITE #302, NEW HAVEN, CT 06511-5602
(203) 777-7500
(203) 777-8469
Mailing address
ONE LONG WHARF DR., SUITE #302, NEW HAVEN, CT 06511-5602
(203) 777-7500
(203) 777-8469
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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