NORTHEAST PLASTIC SURGERY CENTER LLC is a plastic and reconstructive surgery surgery in Old Lyme, CT. The provider is a surgeon who specializes in plastic and reconstructive surgery. NORTHEAST PLASTIC SURGERY CENTER LLC NPI is 1932586682. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5-1 DAVIS ROAD WEST
SUITE 3
OLD LYME, CT
ZIP 06371
Phone: (917) 699-3727
Fax: (718) 672-4251
The provider's authorized official is Vinod Pathy .
The authorized official title is Owner and has the following contact phone number (917) 699-3727.
The enumeration date for this NPI number is 5/1/2015 and was last updated on 5/1/2015.