Aesthetique, Cosmetic and Laser Surgery Center, LLC

NPI #1023358488 in Southbury, Connecticut

Provider Information

NPI Number: 1023358488
Entity Type: Organization
Organization Name: Aesthetique, Cosmetic and Laser Surgery Center, LLC
Primary Specialty: Specialist
Enumeration Date: Feb 22, 2013
Last Updated: Feb 22, 2013

Practice Location

Address: 10 MAIN ST S
City: Southbury
State: Connecticut
ZIP Code: 06488-2260
Phone: (203) 264-6334

Authorized Official

Name: DR. PRASAD S SUREDDI, MD
Title: OWNER
Phone: (203) 264-6334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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