Pomperaug Plastic Surgery, Llc in Southbury - Specialist
Pomperaug Plastic Surgery, Llc - NPI 1306925375
Pomperaug Plastic Surgery, Llc is a Specialist in Southbury, Connecticut. Pomperaug Plastic Surgery, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pomperaug Plastic Surgery, Llc is 1306925375. The last update date is 2020-08-22.
Pomperaug Plastic Surgery, Llc's current location address is Po Box 82, Southbury, Connecticut. You can contact this provider via phone number 2032626200 and fax number 2032626205. The mailing address for Pomperaug Plastic Surgery, Llc is Po Box 82, Southbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pomperaug Plastic Surgery, Llc |
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Address | Po Box 82, Southbury, Connecticut |
Phone Number | 2032626200 |
Fax Number | 2032626205 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Waitze Seung-Yeun |
Credentials | M.D. |
Telephone Number | 2032626200 |
NPI Number Detail
NPI Number | 1306925375 |
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Provider Enumeration Date | 2006-11-02 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Po Box 82 |
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City | Southbury |
State | Connecticut (CT) |
Post Code | 64880082 |
Phone Number | 2032626200 |
Fax Number | 2032626205 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Definition: 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. |
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What is the unique identifier code issued to Pomperaug Plastic Surgery, Llc by the Centers for Medicare & Medicaid Services?
The Pomperaug Plastic Surgery, Llc has been assigned the NPI (National Provider Identifier) 1306925375. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Pomperaug Plastic Surgery, Llc is located?
The Pomperaug Plastic Surgery, Llc is situated at the following address: Po Box 82, Southbury, CT, 64880082.
What is Pomperaug Plastic Surgery, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pomperaug Plastic Surgery, Llc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date was the 1306925375 assigned to Pomperaug Plastic Surgery, Llc?
The Pomperaug Plastic Surgery, Llc was issued its 1306925375 on 2006-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Pomperaug Plastic Surgery, Llc last refreshed?
The information related to the Pomperaug Plastic Surgery, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.