Plastic Reconstructive & Cosmetic Surgery Pc

NPI 1023105947

Information of Plastic Reconstructive & Cosmetic Surgery Pc

The NPI 1023105947 is an Organization type. NPI No 1023105947 belongs to Plastic Reconstructive & Cosmetic Surgery Pc. Plastic Reconstructive & Cosmetic Surgery Pc specializes in Surgery of the Hand. is practising at 204 Worcester St, Wellesley, Massachusetts 02481. You can also contact him via phone number (781) 489-6218.

Practice address located

  • 204 Worcester St
  • Wellesley, Massachusetts 02481
  • (781) 489-6218
  • (781) 489-6218

Mailling address located

  • 204 Worcester St
  • Wellesley, Massachusetts 02481
  • (781) 489-6218
  • (781) 489-6751
NPI No 1023105947
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No2086S0105XSurgery of the Handn/an/a
Yes2086S0122XPlastic and Reconstructive Surgeryn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
MA600215OtherTUFTS HEALTH PLAN
MAM12935OtherBCBS GROUP NUMBER
MAM12935Medicare ID-Type UnspecifiedMEDICARE GROUP NUMBER
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