| NPI | 1568770477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A FERN Owner 203-629-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 0404243) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CT 0404243) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |