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Organization

ESANA PLASTIC SURGERY CENTER AND MEDSPA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBORAH PAN M.D. (PARTNER)
(203) 562-7662
Entity
Organization

Contact information

Practice address
1 AUDUBON ST, SUITE 201, NEW HAVEN, CT 06511-6433
(206) 592-7662
(718) 672-4251
Mailing address
1 AUDUBON ST, SUITE 201, NEW HAVEN, CT 06511-6433
(206) 592-7662
(718) 672-4251

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
41129
CT

Other

Enumeration date
01/05/2017
Last updated
01/05/2017
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