COSMETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES OF CONNECTICUT PC NPI 1184021396

NPI Information

COSMETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES OF CONNECTICUT, PC is a specialist in Shelton, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COSMETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES OF CONNECTICUT, PC NPI is 1184021396. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 CORPORATE DR
SUITE 288
SHELTON, CT
ZIP 06484-211
Phone: (203) 935-8160
Fax: (203) 935-8162

The provider's authorized official is Mark Manuel Melendez .
The authorized official title is President and has the following contact phone number (203) 935-8160.

The enumeration date for this NPI number is 12/3/2014 and was last updated on 12/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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