Unknown Individual – Otolaryngology Physician, NPI 1063408748

Unknown Individual is a healthcare provider. based in Windsor, Connecticut. specializing in Otolaryngology Physician. They hold a License No. 013325 (CT). The NPI Number for Unknown Individual is 1063408748

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063408748
Phone
(860) 493-1950
Address
PO BOX 586
Deactivation Date
13 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 586

    WINDSOR, CT 060950586

    Phone: (860) 493-1950

    Fax: (860) 549-5270

    Type: Mailing

  • 85, Seymour Street, Jefferson–Seymour Historic District, Downtown Hartford, Coltville, Hartford, Connecticut, 06106, United States

    SUITE 318

    HARTFORD, CT 061065501

    Phone: (860) 493-1950

    Fax: (860) 549-5270

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06095)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1063408748 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Windsor, Connecticut.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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