Active NPIOrganization

New England Plastic Surgery Center

Surgery, Plastic and Reconstructive Surgery in Old Lyme, Connecticut

NPI Number1639556640
Practice location
8 Vista Dr, Old Lyme, CT 06371-1587
Fax
718-672-4251
Last updated
April 28, 2015

New England Plastic Surgery Center is a healthcare organization based in Old Lyme, CT. New England Plastic Surgery Center practices in Old Lyme, CT. The NPI Number for New England Plastic Surgery Center is 1639556640 and holds a License No. 047560 (CT). The current practice location address for New England Plastic Surgery Center is 8 Vista Dr, Old Lyme, CT 06371-1587 and can be reached out via phone at 860-451-5200 and via fax at 718-672-4251.

Provider Profile Details

NPI Number
1639556640
Provider Name
New England Plastic Surgery Center
Provider Entity Type
Organization
Address
8 Vista Dr, Old Lyme, CT 06371-1587
Phone Number
860-451-5200
Fax Number
718-672-4251
Primary Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X
Organization Subpart
No
Authorized Official
Dr. John C Lee, MD · Owner · 646-942-7318
Provider Enumeration Date
April 28, 2015
Last Update Date
April 28, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Vista Dr
Old Lyme, CT 06371-1587
Zip
06371-1587
Phone Number
860-451-5200
Fax Number
718-672-4251
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
12 Halls RD
Unit 909
Old Lyme, CT 06371-7000
City
Old Lyme
State
CT
Zip
06371-7000
Phone Number
646-942-7318
Fax Number
718-672-4251

License Information

License Number
047560
License State
CT
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 New England Plastic Surgery Center?

The NPI number of New England Plastic Surgery Center is 1639556640. It was assigned on April 28, 2015 and is currently active in the NPPES registry.

What is the specialty of New England Plastic Surgery Center?

New England Plastic Surgery Center is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in CT under license number 047560.

Where does New England Plastic Surgery Center practice?

The practice location is 8 Vista Dr, Old Lyme, CT 06371-1587. The office can be reached at 860-451-5200 (phone) or 718-672-4251 (fax).

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 1639556640 directly on the NPPES registry website.

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