| NPI | 1366864340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED SOFER Owner 203-336-9862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 037405) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |