Healthcare Provider Details

I. General information

NPI: 1881841872
Provider Name (Legal Business Name): LITCHFIELD COUNTY EAR NOSE & THROAT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 DANBURY RD
NEW MILFORD CT
06776-3427
US

IV. Provider business mailing address

146 DANBURY RD
NEW MILFORD CT
06776-3427
US

V. Phone/Fax

Practice location:
  • Phone: 860-350-8228
  • Fax:
Mailing address:
  • Phone: 860-350-8228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH P. FROLKIS
Title or Position: PRESIDENT
Credential: MD
Phone: 860-350-7200