Organization
GOLD COAST ALLURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN WESCOTT DERMALPIGMENTOLOGIST (PRESIDENT)
(203) 918-0099
Entity
Organization
Contact information
Practice address
695 BEECHWOOD AVE, BRIDGEPORT, CT 06605-1606
(203) 918-0099
Mailing address
695 BEECHWOOD AVE, BRIDGEPORT, CT 06605-1606
(203) 918-0099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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