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HARVEY WILFRED AUSTIN MD

Plastic Surgery Within the Head and Neck >> Plastic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1477140929

Individual Registrant:
 HARVEY WILFRED AUSTIN MD
Gender: M
Sole Proprietor

Location and contact information for practice:
186 JERRY BROWNE RD UNIT 1204  MYSTIC, CT 06355-4006 US
Tel: 703-798-2290  Fax: --

Contact information for business:
186 JERRY BROWNE RD UNIT 1204  MYSTIC, CT 06355-4006 US
Tel: 703-798-2290  Fax: --

Registration Information:
NPI: 1477140929
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2082S0099XAllopathic & Osteopathic Physicians
Plastic Surgery
Plastic Surgery Within the Head and Neck
CT66903

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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