Connecticut Plastic Surgery Group, LLC
NPI #1689812885 in Southport, Connecticut
Provider Information
- NPI Number
- 1689812885
- Entity Type
- Organization
- Organization Name
- Connecticut Plastic Surgery Group, LLC
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Jan 26, 2009
- Last Updated
- Oct 26, 2009
Practice Location
- Address
- 2600 POST RD
- City
- Southport
- State
- Connecticut
- ZIP Code
- 06890-1258
- Phone
- (203) 292-8119
Authorized Official
- Name
- DR. TITO L. VASQUEZ, MD
- Title
- PHYSICIAN/MANAGER
- Phone
- (203) 292-8119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Surgery of the Hand — Surgery of the Hand |
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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