OrganizationActive
Ear Nose & Throat Allergy & Facial Plastic Surgery Specialists LLC
NPI 1609942382 · Otolaryngology Physician · Southport, CT
Provider details
- NPI number
- 1609942382
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bradford Chervin, Member & Manager(203) 256-3338
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2600 Post Rd
Southport, CT 06890-1258
Phone: (203) 256-3338
Fax: (203) 256-3346
Approximate (ZIP-level) locationGet directions
Mailing address
2600 Post Rd
Southport, CT 06890-1258
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2008-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.