Northeast Breast Reconstruction LLC
Northeast Breast Reconstruction LLC is a Plastic and Reconstructive Surgery Physician in Southport, Connecticut. Licensed in New Jersey. Registered with an NPI since 2017.
- Licensed in
- NJ
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
21 Southport TerSouthport, CT 06890
Phone: (718) 672-2824
Fax: (718) 672-3280
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence 25MA10021400 (NJ) |
|---|
Record details
| NPI number | 1255879748 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shareef Jandali — Owner · (718) 672-2824 |
| NPI enumerated | February 6, 2017 |
| Last updated in NPPES | February 6, 2017 |
| Mailing address | 21 Southport Terrace, Southport, CT 06890 |
Other providers in Southport
-
Dr. Tito L. Vasquez, MD
2600 Post Rd, Southport, CT 06890-1258 · (203) 292-8119