| NPI | 1538649116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADWICK WU President 203-640-5768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A142656) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |