ELEVATION PLASTIC SURGERY, PC

NEW HAVEN, CT
NPI1073755443
Entity TypeOrganization
Authorized ContactLEO RYO OTAKE
Medical Director
203-752-0015
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: CT  046053)
Enumeration Date2009-04-01
Last Update Date2009-04-01
Business Address
ELEVATION PLASTIC SURGERY, PC
60 TEMPLE ST SUITE 4B
NEW HAVEN, CT 06510-2716
Phone number: 203-752-0015
Mailing Address
ELEVATION PLASTIC SURGERY, PC
60 TEMPLE ST SUITE 4B
NEW HAVEN, CT 06510-2716
Phone number: 203-752-0015