# CONNECTICUT PLASTIC SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1689804882
- **Authorized official:** TERESITA G MASCARDO M.D. (PRESIDENT)
- **Authorized official phone:** (203) 431-0280

## Contact information

- **Practice address:** 598 DANBURY RD, RIDGEFIELD, CT 06877-2718
- **Practice address phone:** (203) 431-0280
- **Mailing address:** 598 DANBURY RD, RIDGEFIELD, CT 06877-2718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0310 | CT | Yes |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 07/22/2009