| NPI | 1538249842 |
|---|---|
| Former Legal Business Name | VALLEY PLASTIC SURGERY LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN F REILLY Owner 203-880-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 040166) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2026-04-09 |