Plastic Surgicenter Inc in Concord - Plastic Surgery
Plastic Surgicenter Inc - NPI 1720265770
Plastic Surgicenter Inc is a Plastic Surgery in Concord, Massachusetts. Plastic Surgicenter Inc practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Plastic Surgicenter Inc is 1720265770. The last update date is 2008-01-22.
Plastic Surgicenter Inc's current location address is 131 Ornac, Concord, Massachusetts. You can contact this provider via phone number 9783698777 and fax number 9783695554. The mailing address for Plastic Surgicenter Inc is 131 Ornac, Concord, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Plastic Surgicenter Inc |
|---|---|
| Address | 131 Ornac, Concord, Massachusetts |
| Phone Number | 9783698777 |
| Fax Number | 9783695554 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PLASTIC SU |
|---|---|
| Authorized Official Name | Pantazelos H Hytho |
| Credentials | MD |
| Telephone Number | 9783698777 |
NPI Number Detail
| NPI Number | 1720265770 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2008-01-22 |
Provider Mailing Address Detail
| Address | 131 Ornac |
|---|---|
| City | Concord |
| State | Massachusetts (MA) |
| Post Code | 1742 |
| Phone Number | 9783698777 |
| Fax Number | 9783695554 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 29312 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2010321 | MA | -- | |
| 2401005280 | MA | RR MEDICARE | |
| B14059 | MA | BLUE CROSS |
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What is the Plastic Surgicenter Inc's 1720265770?
The Plastic Surgicenter Inc's NPI (National Provider Identifier) Number is 1720265770. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Plastic Surgicenter Inc located?
The Plastic Surgicenter Inc is located at 131 Ornac, Concord, MA 1742.
What is Plastic Surgicenter Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Plastic Surgicenter Inc is Plastic Surgery, and the corresponding taxonomy classification code for this specialized field is 208200000X.
On what date did the Plastic Surgicenter Inc receive its 1720265770 assignment from the Centers for Medicare & Medicaid Services?
The Plastic Surgicenter Inc was assigned its 1720265770 by the Centers for Medicare & Medicaid Services on 2008-01-22.
When was the information related to Plastic Surgicenter Inc most recently updated or refreshed?
The details pertaining to the Plastic Surgicenter Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-22.