Organization · Type 2 NPI

Plastic Surgery of So CT

Ambulatory Surgical Clinic/Center · Westport, CT

NPI number 1053628883 Active

Practice location

208 Post Rd W
Westport, CT 06880-4604

Fax (203) 454-8675

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X024727 (CT)

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1053628883

Plastic Surgery of So CT's National Provider Identifier is 1053628883, issued on Aug 31, 2010. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Westport, CT. The record was last updated on Aug 31, 2010.