Cosmetic And Reconstructive Surgery Associates Of Connecticut, Pc

NPI 1184021396 - Specialist - 174400000X

NPI Details
NPI 1184021396
Enumeration Date 12/03/2014
Last Updated 12/03/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MARK MANUEL MARK
Position PRESIDENT
Phone (203) 935-8160
Fax (203) 935-8162
Practice Location
4 CORPORATE DR
SUITE 288
SHELTON CT, 06484-6211, US
Phone (203) 935-8160
Fax (203) 935-8162
Business Location
4 CORPORATE DR
SUITE 288
SHELTON CT, 06484-6211, US
Phone (203) 935-8160
Fax (203) 935-8162
Toxanomy
Taxonomy Code 174400000X
License State Connecticut
License Number 052225
Remove 1184021396 NPI Number
 

According to our database, Cosmetic And Reconstructive Surgery Associates Of Connecticut, Pc NPI is 1184021396, taxonomy code is 174400000X and license number is 052225, license state is located at Connecticut. Cosmetic And Reconstructive Surgery Associates Of Connecticut, Pc physically located at 4 Corporate Dr, Shelton CT, 06484-6211. NPI Number 1033115704 has the healthcare provider type.

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1184021396 NPI number is provided on an as is basis without warranty of any kind. 1184021396 is maintained by the National Plan & Provider Enumeration System. The contents of Cosmetic And Reconstructive Surgery Associates Of Connecticut, Pc are for informational purposes only.