CONNECTICUT PLASTIC SURGERY GROUP, LLC – NPI #1689812885
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

CONNECTICUT PLASTIC SURGERY GROUP, LLC is a surgeon located in SOUTHPORT, CT. NPPES has assigned the NPI number 1689812885 to CONNECTICUT PLASTIC SURGERY GROUP, LLC on January 26, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 17 years ago on Oct 26, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONNECTICUT PLASTIC SURGERY GROUP, LLC below.

NPI Profile for
CONNECTICUT PLASTIC SURGERY GROUP, LLC

NPI Number
1689812885
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONNECTICUT PLASTIC SURGERY GROUP, LLC
Primary location
2600 POST RD
SOUTHPORT, CT 06890-1258
Phone: (203) 292-8119 Fax: (203) 292-8120
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TITO VASQUEZ
PHYSICIAN/MANAGER
Phone: (203) 292-8119
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 CT 046169
2086S0105X
- Surgery / Surgery of the Hand		 CT 046169

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.