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1073755443
ELEVATION PLASTIC SURGERY, PC
NEW HAVEN, CT
NPI
1073755443
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Entity Type
Organization
Authorized Contact
LEO RYO OTAKE
Medical Director
203-752-0015
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: CT 046053)
Enumeration Date
2009-04-01
Last Update Date
2009-04-01
Business Address
ELEVATION PLASTIC SURGERY, PC
60 TEMPLE ST SUITE 4B
NEW HAVEN, CT 06510-2716
Phone number: 203-752-0015
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Mailing Address
ELEVATION PLASTIC SURGERY, PC
60 TEMPLE ST SUITE 4B
NEW HAVEN, CT 06510-2716
Phone number: 203-752-0015
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