Organization
STANISLAW FACIAL PLASTIC SURGERY CENTER, LLC
Active
Other names
FACIAL PLASTIC SURGERY CENTER OF NEW ENGLAND, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL STANISLAW JR. MD (OWNER)
(860) 409-1515
Entity
Organization
Contact information
Practice address
35 NOD RD, SUITE 204, AVON, CT 06001-3826
(860) 409-1515
Mailing address
35 NOD RD, SUITE 204, AVON, CT 06001-3826
(860) 409-1515
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/18/2005
Last updated
02/02/2016
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