NPI 1568770428

Gold Coast Plastic Surgery and Laser Center, LLC

Organisation Plastic Surgery Physician Stamford, CT

Practice location

Address: 999 Summer St Suite 401, Stamford, CT 06905-5546
Phone: (203) 920-1444
Fax: (866) 920-5178

Authorised official

Name: Chang Soo Kim
Title: Director
Phone: (732) 233-4050

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 048229 (CT)

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Registry record

NPI: 1568770428
Entity type: Organization
NPI issued: 14 Sep 2010
Record last updated: 13 Jan 2014

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.