institution
Northeast Plastic Surgery Center Llc
Plastic and Reconstructive Surgery Physician in Old Lyme, Connecticut
NPI 1932586682

Northeast Plastic Surgery Center Llc is a Plastic and Reconstructive Surgery Physician based in Old Lyme, CT and is specialized in Plastic and Reconstructive Surgery. Northeast Plastic Surgery Center Llc practices in Old Lyme, CT. The NPI Number for Northeast Plastic Surgery Center Llc is 1932586682 and holds a License No. 045607 (Connecticut).

The current practice location address for Northeast Plastic Surgery Center Llc is 5-1 Davis Road West, Old Lyme, CT and can be reached out via phone at 917-699-3727 and via fax at 718-672-4251.

Location: 5-1 Davis Road West, Old Lyme, CT, 06371-7000
institution
Provider Profile Details
NPI Number
1932586682
Provider Name
Northeast Plastic Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
5-1 Davis Road West, Old Lyme, CT, 06371-7000
Phone Number
917-699-3727
Fax Number
718-672-4251
Provider Enumeration Date
05/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5-1 Davis Road West
City
State
Zip
06371
Phone Number
917-699-3727
Fax Number
718-672-4251
person
Provider Business Mailing Address Details
Address
5-1 Davis Road West
City
State
Zip
06371
Phone Number
917-699-3727
Fax Number
718-672-4251
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
045607 (Connecticut)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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