Organization · Type 2 NPI
Pomperaug Plastic Surgery, LLC
Specialist · Southbury, CT
NPI number
1306925375
Active
Practice location
22 Poverty Road
Southbury, CT 06488
Fax (203) 262-6205
Mailing address
PO Box 82
Southbury, CT 06488-0082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Southbury
About NPI 1306925375
Pomperaug Plastic Surgery, LLC's National Provider Identifier is 1306925375, issued on Nov 2, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southbury, CT. The record was last updated on Aug 22, 2020.