Organization
PLASTIC SURGERY PRACTICE OF CONNECTICUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAT JAMES (BILLING MANAGER)
(631) 368-1541
Entity
Organization
Contact information
Practice address
44 AMOGERONE CROSSWAY # 8151, GREENWICH, CT 06830-9993
(631) 368-1541
(631) 368-1538
Mailing address
PO BOX 263, MANHASSET, NY 11030-0263
(631) 368-1541
(631) 368-1538
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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