Organization
COSMETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES OF CONNECTICUT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MANUEL MELENDEZ MD (PRESIDENT)
(203) 935-8160
Entity
Organization
Contact information
Practice address
4 CORPORATE DR, SUITE 288, SHELTON, CT 06484-6211
(203) 935-8160
(203) 935-8162
Mailing address
4 CORPORATE DR, SUITE 288, SHELTON, CT 06484-6211
(203) 935-8160
(203) 935-8162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
052225
CT
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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