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POMPERAUG PLASTIC SURGERY, LLC
NPI 1306925375
Specialist in Southbury, CT

Active since November 02, 2006
22 POVERTY ROAD, SOUTHBURY, CT 06488(203) 262-6200(203) 262-6205 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pomperaug Plastic Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POMPERAUG PLASTIC SURGERY, LLC (NPI 1306925375) is a healthcare organization registered as a specialist in Southbury, Connecticut and active in the NPI registry since November 2006. The organization lists Seung-yeun Waitze, Owner, as its authorized official.

NPPES Registry Identity

NPI1306925375
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePOMPERAUG PLASTIC SURGERY, LLC
Location Address22 POVERTY ROADSouthbury, CT 06488
Mailing AddressPo Box 82Southbury, CT 06488-0082 · (203) 262-6200 · Fax (203) 262-6205
Phone(203) 262-6200
Fax(203) 262-6205
Organization SubpartNo
Authorized OfficialSeung-yeun WaitzeOwner · (203) 262-6200
Enumeration DateNovember 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306925375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

22 POVERTY ROAD, Southbury, CT 06488
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pomperaug Plastic Surgery, LLC's NPI number?

The NPI number for Pomperaug Plastic Surgery, LLC is 1306925375. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Pomperaug Plastic Surgery, LLC located?

Pomperaug Plastic Surgery, LLC is located at 22 Poverty Road, Southbury, CT 06488. The listed phone number is (203) 262-6200.

What is Pomperaug Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pomperaug Plastic Surgery, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.