GOLD COAST PLASTIC SURGERY AND LASER CENTER, LLC
Medical Practice at Summer St, Stamford, CT

License number
Connecticut 048229
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: DR. CHANG SOO KIM M.D.
Title: DIRECTOR
Phone: (732) 233-4050
Address
Address
999 Summer St SUITE 401, Stamford, CT 06905
National Provider ID: 1568770428
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GOLD COAST PLASTIC SURGERY AND LASER CENTER, LLC

Stamford, CT  -  New Canaan, CT

Industry:
Medical Doctor's Office
Registration:
Apr 1, 2010
Addresses:
999 Summer St SUITE 401, Stamford, CT 06905 (Physical)
35 Deacons Way, New Canaan, CT 06840 (Mailing)
State ID:
1000833
Business type:
Domestic Limited Liability Company
MANAGER:
Md Chang Soo Kim (MANAGER), 999 Summer St SUITE 401, Stamford, CT 06905 (Mailing)
35 Deacon's Way, New Canaan, CT 06840 (Physical)
Agent:
Esq John M. Brown,118 Oak St, Hartford, CT 06106 (Mailing)
290 Beechwood Rd, West Hartford, CT 06107 (Physical)

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