Provider Demographics
NPI:1588852198
Name:EAR, NOSE, THROAT, AND ALLERGY ASSOCIATES,LLC
Entity Type:Organization
Organization Name:EAR, NOSE, THROAT, AND ALLERGY ASSOCIATES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:IMBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-478-9878
Mailing Address - Street 1:2700 SILVERSIDE RD
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3719
Mailing Address - Country:US
Mailing Address - Phone:302-478-9878
Mailing Address - Fax:302-478-8069
Practice Address - Street 1:2700 SILVERSIDE RD
Practice Address - Street 2:SUITE 3A
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3719
Practice Address - Country:US
Practice Address - Phone:302-478-9878
Practice Address - Fax:302-478-8069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty