Individual
HARVEY WILFRED AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
186 JERRY BROWNE RD UNIT 1204, MYSTIC, CT 06355-4006
(703) 798-2290
Mailing address
186 JERRY BROWNE RD UNIT 1204, MYSTIC, CT 06355-4006
(703) 798-2290
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
66903
CT
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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