Aesthetic Surgery Center LLC

Organization Active NPI Anesthesiology Physician · Darien, CT

NPI 1154766343 · NPPES record last updated Mar 18, 2014

Key facts

NPI
1154766343
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
AESTHETIC SURGERY CENTER LLC
Practice address
722 Post Rd
Darien, CT 06820-4744
Phone
(203) 656-9999
Fax
(203) 655-0099
NPI assigned
May 2, 2013
Organization subpart
No

Authorized official

Name
Dr. Fredric Newman, M.D.
Title
President
Phone
(203) 656-9999

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2094854Aesthetic Surgery Center, LLC
722 Post Rd, 2ND FLR, Darien, CT 06820
Certificate of waiverApr 26, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207L00000X Yes
Ambulatory Surgical Clinic/Center 261QA1903X 0317 CT

Addresses

Primary practice location

722 Post Rd
Darien, CT 06820-4744

Mailing address

722 Post Rd
Darien, CT 06820-4744
Phone (203) 656-9999

Other names

  • Darien Medical Arts, LLC Doing business as

Other providers in Darien, CT

All providers in Darien, CT · Anesthesiology Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.