Aesthetique, Cosmetic and Laser Surgery Center, LLC
Organization Active NPI Specialist · Southbury, CT
NPI 1023358488 · NPPES record last updated Feb 22, 2013
Key facts
- NPI
- 1023358488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 024062 (CT)
- Legal business name
- AESTHETIQUE, COSMETIC AND LASER SURGERY CENTER, LLC
- Practice address
- 10 Main St S
Southbury, CT 06488-2260 - Phone
- (203) 264-6334
- Fax
- (203) 267-7654
- NPI assigned
- Feb 22, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Prasad S Sureddi, MD
- Title
- Owner
- Phone
- (203) 264-6334
Practitioners 1
-
Prasad S Sureddi, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 024062 | CT | Yes |
Addresses
Primary practice location
10 Main St S
Southbury, CT 06488-2260
Mailing address
10 Main St S
Southbury, CT 06488-2260
Phone (203) 264-6334
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.