| NPI | 1215337068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER DAVILA Owner 203-562-7662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 042733) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |