OrganizationActive
Ear Specialty Group of Connecticut PC
NPI 1174005219 · Otology & Neurotology Physician · Farmington, CT
Provider details
- NPI number
- 1174005219
- Entity type
- Organization
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Rostron, Director of Operations(860) 640-4455
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Audiologist231H00000X
Speech, Language and Hearing Service Providers
Practice location
40 Stanford Dr
Farmington, CT 06032-2454
Phone: (860) 640-4455
Fax: (860) 640-4478
Approximate (ZIP-level) locationGet directions
Mailing address
40 Stanford Dr
Farmington, CT 06032-2454
Registry dates
- Enumerated
- 2018-09-05
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.