| NPI | 1730488982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAREEF JANDALI Owner 203-374-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 049538) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2019-10-11 |