| NPI | 1801231659 |
|---|---|
| Doing Business As | IMAGINE AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | LEIF O NORDBERG President 203-324-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2018-08-22 |