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Contact Information

GOLD COAST PLASTIC SURGERY AND LASER CENTER, LLC
999 SUMMER ST
SUITE 401
STAMFORD, CT06905-5546
 Phone: 203-920-1444
 Fax: 866-920-5178
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GOLD COAST PLASTIC SURGERY AND LASER CENTER, LLC

NPI Number 1568770428
LBN Legal business name GOLD COAST PLASTIC SURGERY AND LASER CENTER, LLC
Authorized official CHANG KIM - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2010
Last updated 01/13/2014 - About 12 years ago
Identifiers
CT License # 048229
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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