NPI 1306925375

Pomperaug Plastic Surgery, LLC

Organisation Specialist Southbury, CT

Practice location

Address: 22 Poverty Road, Southbury, CT 06488
Phone: (203) 262-6200
Fax: (203) 262-6205
Mailing address: PO Box 82, Southbury, CT 06488-0082

Authorised official

Name: Seung-Yeun Waitze
Title: Owner
Phone: (203) 262-6200

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1306925375
Entity type: Organization
NPI issued: 2 Nov 2006
Record last updated: 22 Aug 2020

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.