Provider Demographics
NPI:1871903872
Name:COLDEN & SEYMOUR EAR NOSE & THROAT LLC
Entity type:Organization
Organization Name:COLDEN & SEYMOUR EAR NOSE & THROAT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-997-1561
Mailing Address - Street 1:1 WALLACE BASHAW WAY
Mailing Address - Street 2:SUITE 3002
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3875
Mailing Address - Country:US
Mailing Address - Phone:978-997-1550
Mailing Address - Fax:978-688-8292
Practice Address - Street 1:1 WALLACE BASHAW WAY
Practice Address - Street 2:SUITE 3002
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3875
Practice Address - Country:US
Practice Address - Phone:978-997-1550
Practice Address - Fax:978-688-8292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty