National Provider Identifier Database

POMPERAUG PLASTIC SURGERY LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

POMPERAUG PLASTIC SURGERY, LLC
22 POVERTY ROAD
SOUTHBURY, CT06488
Phone: 203-262-6200
Fax: 203-262-6205
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for POMPERAUG PLASTIC SURGERY, LLC

NPI Number 1306925375
Legal business name
LBN
POMPERAUG PLASTIC SURGERY, LLC
Authorized official SEUNG-YEUN WAITZE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/02/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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