NEW ENGLAND PLASTIC SURGERY GROUP LLC NPI 1700141330

NPI Information

NEW ENGLAND PLASTIC SURGERY GROUP, LLC is a plastic and reconstructive surgery surgery in Old Lyme, CT. The provider is a surgeon who specializes in plastic and reconstructive surgery. NEW ENGLAND PLASTIC SURGERY GROUP, LLC NPI is 1700141330. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8 VISTA DR
OLD LYME, CT
ZIP 06371-587
Phone: (718) 672-3016
Fax: (718) 672-3280

The provider's authorized official is Vinod Pathy .
The authorized official title is President and has the following contact phone number (718) 672-2824.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 7/27/2012.

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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