NPI 1023358488

Aesthetique, Cosmetic and Laser Surgery Center, LLC

Organisation Specialist Southbury, CT

Practice location

Address: 10 Main St S, Southbury, CT 06488-2260
Phone: (203) 264-6334
Fax: (203) 267-7654

Authorised official

Name: Prasad S Sureddi
Title: Owner
Phone: (203) 264-6334

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 024062 (CT)

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Registry record

NPI: 1023358488
Entity type: Organization
NPI issued: 22 Feb 2013
Record last updated: 22 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.