ESANA PLASTIC SURGERY CENTER AND MEDSPA LLC NPI 1497290134

NPI Information

ESANA PLASTIC SURGERY CENTER AND MEDSPA LLC is a plastic and reconstructive surgery surgery in New Haven, CT. The provider is a surgeon who specializes in plastic and reconstructive surgery. ESANA PLASTIC SURGERY CENTER AND MEDSPA LLC NPI is 1497290134. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 AUDUBON ST
SUITE 201
NEW HAVEN, CT
ZIP 06511-433
Phone: (206) 592-7662
Fax: (718) 672-4251

The provider's authorized official is Deborah Pan .
The authorized official title is Partner and has the following contact phone number (203) 562-7662.

The enumeration date for this NPI number is 1/5/2017 and was last updated on 1/5/2017.

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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