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Organization

FAIRFIELD PLASTIC SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID YAN M.D. (PRESIDENT)
(718) 672-3016
Entity
Organization

Contact information

Practice address
140 SHERMAN ST, 3RD FLOOR, FAIRFIELD, CT 06824-5849
(718) 672-3016
(718) 672-4251
Mailing address
140 SHERMAN ST, 3RD FLOOR, FAIRFIELD, CT 06824-5849
(718) 672-3016
(718) 672-4251

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
047323
CT

Other

Enumeration date
07/05/2011
Last updated
05/18/2012
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