# GREENWICH PLASTIC SURGERY CENTER

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

## Provider details

- **NPI number:** 1144605007
- **Authorized official:** DR. SANDRA MARGOLES M.D. (OWNER/PARTNER)
- **Authorized official phone:** (203) 769-1200

## Contact information

- **Practice address:** 2 1/2 DEARFIELD DR, SUITE 102, GREENWICH, CT 06831-5335
- **Practice address phone:** (203) 769-1200
- **Practice address fax:** (203) 861-6621
- **Mailing address:** 2 1/2 DEARFIELD DR, SUITE 102, GREENWICH, CT 06831-5335
- **Mailing address phone:** (203) 769-1200
- **Mailing address fax:** (203) 861-6621

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 07/21/2015