Pomperaug Plastic Surgery, LLC

NPI #1306925375 in Southbury, Connecticut

Provider Information

NPI Number: 1306925375
Entity Type: Organization
Organization Name: Pomperaug Plastic Surgery, LLC
Primary Specialty: Specialist
Enumeration Date: Nov 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 22 POVERTY ROAD
City: Southbury
State: Connecticut
ZIP Code: 06488
Phone: (203) 262-6200

Authorized Official

Name: DR. SEUNG-YEUN WAITZE, M.D.
Title: OWNER
Phone: (203) 262-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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