Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 040639 | CT |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 040639 | CT |
NPI | 1437145224 |
---|---|
Provider Name | Dr. Brook M. Seeley |
First Address | Windsor, CT 06095-0586 |
Second Address | Farmington, CT 06030-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 23/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H44742 | (02) | CT |