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Contact Information

POMPERAUG PLASTIC SURGERY, LLC
22 POVERTY ROAD
SOUTHBURY, CT06488
 Phone: 203-262-6200
 Fax: 203-262-6205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for POMPERAUG PLASTIC SURGERY, LLC

NPI Number 1306925375
LBN Legal business name POMPERAUG PLASTIC SURGERY, LLC
Authorized official SEUNG-YEUN WAITZE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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