Healthcare Provider Details

I. General information

NPI: 1346013927
Provider Name (Legal Business Name): HEARING INSTITUTE OF CONNECTICUT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 FARMINGTON AVE
FARMINGTON CT
06032
US

IV. Provider business mailing address

599 FARMINGTON AVE
FARMINGTON CT
06032
US

V. Phone/Fax

Practice location:
  • Phone: 860-676-2472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SETH M BROWN
Title or Position: PHYSICIAN
Credential:
Phone: 860-676-2472