Organization
NEW ENGLAND PLASTIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C LEE M.D. (OWNER)
(646) 942-7318
Entity
Organization
Contact information
Practice address
8 VISTA DR, OLD LYME, CT 06371-1587
(860) 451-5200
(718) 672-4251
Mailing address
12 HALLS RD, UNIT 909, OLD LYME, CT 06371-7000
(646) 942-7318
(718) 672-4251
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
047560
CT
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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