Active NPIOrganization

Radiance Medspa PLLC

Surgery, Plastic and Reconstructive Surgery in Greenwich, Connecticut

NPI Number1538563507
Practice location
195 Field Point RD, First Floor, Greenwich, CT 06830-6441
Fax
—
Last updated
October 20, 2014

Radiance Medspa PLLC is a healthcare organization based in Greenwich, CT. Radiance Medspa PLLC practices in Greenwich, CT. The NPI Number for Radiance Medspa PLLC is 1538563507. The current practice location address for Radiance Medspa PLLC is 195 Field Point RD, First Floor, Greenwich, CT 06830-6441 and can be reached out via phone at 203-717-1414.

Provider Profile Details

NPI Number
1538563507
Provider Name
Radiance Medspa PLLC
Provider Entity Type
Organization
Address
195 Field Point RD, First Floor, Greenwich, CT 06830-6441
Phone Number
203-717-1414
Primary Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X
Organization Subpart
No
Authorized Official
Dr. Joel B Singer, MD · President · 203-717-1414
Other Names
CT Rejuvenation Centre (Doing Business As)
Provider Enumeration Date
October 20, 2014
Last Update Date
October 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Field Point RD
First Floor
Greenwich, CT 06830-6441
Zip
06830-6441
Phone Number
203-717-1414
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
195 Field Point RD
First Floor
Greenwich, CT 06830-6441
City
Greenwich
State
CT
Zip
06830-6441
Phone Number
203-717-1414

License Information

Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Radiance Medspa PLLC?

The NPI number of Radiance Medspa PLLC is 1538563507. It was assigned on October 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Radiance Medspa PLLC?

Radiance Medspa PLLC is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X).

Where does Radiance Medspa PLLC practice?

The practice location is 195 Field Point RD, First Floor, Greenwich, CT 06830-6441. The office can be reached at 203-717-1414 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538563507 directly on the NPPES registry website.

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