Elevation Plastic Surgery, Pc

NPI 1073755443 - Plastic Surgery - 208200000X

NPI Details
NPI 1073755443
Enumeration Date 04/01/2009
Last Updated 04/01/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LEO RYO LEO
Position MEDICAL DIRECTOR
Phone (203) 752-0015
Fax (203) 772-2814
Practice Location
60 TEMPLE ST
SUITE 4B
NEW HAVEN CT, 06510-2716, US
Phone (203) 752-0015
Fax (203) 772-2814
Business Location
60 TEMPLE ST
SUITE 4B
NEW HAVEN CT, 06510-2716, US
Phone (203) 752-0015
Fax (203) 772-2814
Toxanomy
Taxonomy Code 208200000X
License State Connecticut
License Number 046053
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According to our database, Elevation Plastic Surgery, Pc NPI is 1073755443, taxonomy code is 208200000X and license number is 046053, license state is located at Connecticut. Elevation Plastic Surgery, Pc physically located at 60 Temple St, New Haven CT, 06510-2716. NPI Number 1033115704 has the healthcare provider type.

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1073755443 NPI number is provided on an as is basis without warranty of any kind. 1073755443 is maintained by the National Plan & Provider Enumeration System. The contents of Elevation Plastic Surgery, Pc are for informational purposes only.