Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 16710 | CT |
N | 207YP0228X | Pediatric Otolaryngology | 16710 | CT |
NPI | 1346271749 |
---|---|
Provider Name | Gordon Strothers |
First Address | New Haven, CT 06511-5991 |
Second Address | New Haven, CT 06511-5991 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 02/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040002583 | RAILROAD MEDICARE PIN (01) | CT |
1167105 | (05) | CT |
B39367 | (02) |