| NPI | 1700878576 |
|---|---|
| Former Legal Business Name | FACIAL PLASTIC SURGERY CENTER OF NEW ENGLAND, LLC |
| Entity Type | Organization |
| Authorized Contact | PAUL STANISLAW Owner 860-409-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2016-02-02 |