POMPERAUG PLASTIC SURGERY LLC NPI 1306925375

NPI Information

POMPERAUG PLASTIC SURGERY, LLC is a specialist in Southbury, 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. POMPERAUG PLASTIC SURGERY, LLC NPI is 1306925375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22 POVERTY ROAD
SOUTHBURY, CT
ZIP 06488
Phone: (203) 262-6200
Fax: (203) 262-6205

The provider's authorized official is Seung-yeun Waitze .
The authorized official title is Owner and has the following contact phone number (203) 262-6200.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 8/22/2020.

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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