PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.
Ambulatory Health at Lasalle Rd, Hartford, CT

License number
Connecticut 035460
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. HOWARD G SMITH M.D.
Title: PRESIDENT
Phone: (860) 212-6723
Address
Address
65 Lasalle Rd, Hartford, CT 06107
National Provider ID: 1477912988
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, PC

78 Pilgrim Rd, West Hartford, CT 06117

Status:
Inactive
Inactive reason:
Surrender of Authority
Registration:
Dec 28, 2012
Inactive since:
Jan 8, 2014
State ID:
4338488
Business type:
FOREIGN PROFESSIONAL CORPORATION

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