| NPI | 1013213834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J GOODKIND Owner 203-871-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 024179) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |