CONCORD PLASTIC SURGERY INC NPI 1073738654

NPI Information

NPI: 1073738654
Provider Name: CONCORD PLASTIC SURGERY INC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
131 ORNAC
JOHN CUMING BULDING SUITE 700
CONCORD, MA
ZIP 01742
Phone: (978) 369-1579
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CONCORD PLASTIC SURGERY INC is a plastic and reconstructive surgery surgery in Concord, MA. The provider is a surgeon who specializes in plastic and reconstructive surgery. CONCORD PLASTIC SURGERY INC NPI is 1073738654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

131 ORNAC
JOHN CUMING BULDING SUITE 700
CONCORD, MA
ZIP 01742-177
Phone: (978) 369-1579
Fax: (978) 369-0304

The provider's authorized official is Paul David Costas .
The authorized official title is President and has the following contact phone number (978) 369-1579.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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