Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NORTHEAST BREAST RECONSTRUCTION LLC
Active OrganizationNORTHEAST BREAST RECONSTRUCTION LLC is a Plastic and Reconstructive Surgery organization located in SOUTHPORT, Connecticut. NPI 1255879748 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · SOUTHPORT, CT
Registration Details
- NPI Number
- 1255879748
- Provider Type
- Organization
- NPI Issued
- Feb 6, 2017 (9.5338192946433 yrs)
- Last Updated
- Feb 6, 2017
- License
-
25MA10021400 (NJ)
Practice Information
- Address
-
21 SOUTHPORT TERRACESOUTHPORT, CT, 06890Browse CT providers · Browse ZIP 06890
- Phone
- 7186722824
- Fax
- 7186723280
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Organizations in SOUTHPORT, CT
| Name | NPI |
|---|---|
| CONNECTICUT PLASTIC SURGERY GROUP, LLC | 1689812885 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.