| NPI | 1609699180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER NEUSNER CEO/Owner 860-912-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |