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HARVEY WILFRED AUSTIN MD
Plastic Surgery Within the Head and Neck >> Plastic Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1477140929
Individual Registrant: HARVEY WILFRED AUSTIN MD
Gender: M
Sole Proprietor
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: --
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: --
Tel: 703-798-2290 Fax: --
Registration Information:
NPI: 1477140929
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2082S0099X | Allopathic & Osteopathic Physicians Plastic Surgery Plastic Surgery Within the Head and Neck | CT | 66903 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
