Connecticut Plastic Surgery Group, LLC
Surgery, Plastic and Reconstructive Surgery in Southport, Connecticut
1689812885- Practice location
- 2600 Post RD, Southport, CT 06890-1258
- Phone
- 203-292-8119
- Fax
- 203-292-8120
- Last updated
- October 26, 2009
Connecticut Plastic Surgery Group, LLC is a healthcare organization based in Southport, CT. Connecticut Plastic Surgery Group, LLC practices in Southport, CT. The NPI Number for Connecticut Plastic Surgery Group, LLC is 1689812885 and holds a License No. 046169 (CT). The current practice location address for Connecticut Plastic Surgery Group, LLC is 2600 Post RD, Southport, CT 06890-1258 and can be reached out via phone at 203-292-8119 and via fax at 203-292-8120.
Provider Profile Details
- NPI Number
- 1689812885
- Provider Name
- Connecticut Plastic Surgery Group, LLC
- Provider Entity Type
- Organization
- Address
- 2600 Post RD, Southport, CT 06890-1258
- Phone Number
- 203-292-8119
- Fax Number
- 203-292-8120
- Primary Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X
- Organization Subpart
- No
- Authorized Official
- Dr. Tito L. Vasquez, MD · Physician/Manager · 203-292-8119
- Provider Enumeration Date
- January 26, 2009
- Last Update Date
- October 26, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2600 Post RD
Southport, CT 06890-1258 - City
- Southport
- State
- Connecticut
- Zip
- 06890-1258
- Phone Number
- 203-292-8119
- Fax Number
- 203-292-8120
Provider Business Mailing Address Details
- Address
- 2600 Post RD
Southport, CT 06890-1258 - City
- Southport
- State
- CT
- Zip
- 06890-1258
- Phone Number
- 203-292-8119
- Fax Number
- 203-292-8120
License Information
- License Number (1)
- 046169
- License State (1)
- CT
- Taxonomy (1)
- Surgery, Surgery of the Hand · 2086S0105X
- License Number (2)
- 046169
- License State (2)
- CT
- Taxonomy (2)
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Connecticut Plastic Surgery Group, LLC?
The NPI number of Connecticut Plastic Surgery Group, LLC is 1689812885. It was assigned on January 26, 2009 and is currently active in the NPPES registry.
What is the specialty of Connecticut Plastic Surgery Group, LLC?
Connecticut Plastic Surgery Group, LLC is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in CT under license number 046169.
Where does Connecticut Plastic Surgery Group, LLC practice?
The practice location is 2600 Post RD, Southport, CT 06890-1258. The office can be reached at 203-292-8119 (phone) or 203-292-8120 (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 1689812885 directly on the NPPES registry website.