Organization
THE CONNECTICUT CENTER FOR FACIAL PLASTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD STUPAK M.D. (OWNER)
(203) 248-8409
Entity
Organization
Contact information
Practice address
2200 WHITNEY AVE, SUITE 260, HAMDEN, CT 06518-3691
(203) 248-8409
(203) 281-2905
Mailing address
2200 WHITNEY AVE, SUITE 260, HAMDEN, CT 06518-3691
(203) 248-8409
(203) 281-2905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
043483
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932197852
NPI
CT
Enumeration date
06/21/2007
Last updated
08/22/2020
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