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Organization

PEAU

Active
Other names
Carnegie Hill Skin Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY S LATRENTA M.D. (OWNER)
(203) 309-5701
Entity
Organization

Contact information

Practice address
1472 BOSTON POST RD, DARIEN, CT 06820-5909
(203) 309-5701
(203) 655-0367
Mailing address
1472 BOSTON POST RD, DARIEN, CT 06820-5909
(203) 309-5701
(203) 655-0367

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
040032
CT

Other

Enumeration date
04/08/2016
Last updated
04/08/2016
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