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Organization
ESANA PLASTIC SURGERY CENTER AND MEDSPA LLC
Active
Organization
ESANA PLASTIC SURGERY CENTER AND MEDSPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH PAN M.D. (PARTNER)
(203) 562-7662
Entity
Organization
Contact information
Practice address
1 AUDUBON ST, SUITE 201, NEW HAVEN, CT 06511-6433
(206) 592-7662
(718) 672-4251
Mailing address
1 AUDUBON ST, SUITE 201, NEW HAVEN, CT 06511-6433
(206) 592-7662
(718) 672-4251
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
41129
CT
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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