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Organization

GOLD COAST PLASTIC SURGERY AND LASER CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHANG SOO KIM M.D. (DIRECTOR)
(732) 233-4050
Entity
Organization

Contact information

Practice address
999 SUMMER ST, SUITE 401, STAMFORD, CT 06905-5546
(203) 920-1444
(866) 920-5178
Mailing address
999 SUMMER ST, SUITE 401, STAMFORD, CT 06905-5546
(203) 920-1444
(866) 920-5178

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
048229
CT

Other

Enumeration date
09/14/2010
Last updated
01/13/2014
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