| NPI | 1013281443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARTIN BASS President 860-247-3479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 016246) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CT 016246) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |