| NPI | 1659758191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PAN Owner 203-562-7662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 041129) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |