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PLASTIC SURGICAL ASSOCIATES INC. NPI 1154450286


NPI Information

NPI: 1154450286
Provider Name: PLASTIC SURGICAL ASSOCIATES, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2000 WASHINGTON ST STE 444
NEWTON LOWER FALLS, MA
ZIP 02462
Phone: (617) 244-0990
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PLASTIC SURGICAL ASSOCIATES, INC. is a specialist in Newton Lower Falls, MA. The provider is 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. PLASTIC SURGICAL ASSOCIATES, INC. NPI is 1154450286. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2000 WASHINGTON ST STE 444
NEWTON LOWER FALLS, MA
ZIP 02462-608
Phone: (617) 244-0990
Fax: (617) 969-4044

The provider's authorized official is Matthias B. Donelan .
The authorized official title is President and has the following contact phone number (617) 244-0990.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 1/6/2009.


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
1174400000XSpecialist36527MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Y10198MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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

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