Organization
NORDBERG PLASTIC SURGERY CENTER, LLC
Active
Other names
Imagine Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIF O NORDBERG MD (PRESIDENT)
(203) 324-4700
Entity
Organization
Contact information
Practice address
2001 W MAIN ST, SUITE 150, STAMFORD, CT 06902
(203) 324-4700
(203) 324-5691
Mailing address
2001 W MAIN ST, SUITE 150, STAMFORD, CT 06902-4501
(203) 324-4700
(203) 324-5691
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2013
Last updated
08/22/2018
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