NPI | 1174801898 |
---|---|
Entity Type | Organization |
Authorized Contact | MARI REBANE-MAZZOTTA Physician/Owner 860-343-0122 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 049437) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2011-07-29 |