Healthcare Provider Details

I. General information

NPI: 1023371549
Provider Name (Legal Business Name): NICHOLAS STEPHEN KARTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 HEBRON AVE
GLASTONBURY CT
06033-2096
US

IV. Provider business mailing address

120 HEBRON AVE STE 2A
GLASTONBURY CT
06033-2096
US

V. Phone/Fax

Practice location:
  • Phone: 860-775-5595
  • Fax:
Mailing address:
  • Phone: 860-775-5595
  • Fax: 860-760-6056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number60345
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number60345
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: