# PLASTIC SURGERY OF SO CT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053628883
- **Authorized official:** DR. JOSEPH B O'CONNELL M.D. (M.D.)
- **Authorized official phone:** (203) 454-0044

## Contact information

- **Practice address:** 208 POST RD W, WESTPORT, CT 06880-4604
- **Practice address phone:** (203) 454-0044
- **Practice address fax:** (203) 454-8675
- **Mailing address:** 208 POST RD W, WESTPORT, CT 06880-4604
- **Mailing address phone:** (203) 454-0044
- **Mailing address fax:** (203) 454-8675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 024727 | CT | Yes |

## Other

- **Enumeration date:** 08/31/2010
- **Last updated:** 08/31/2010