Northshore Plastic Surgery, Llc in Peabody - Plastic And Reconstructive Surgery
Northshore Plastic Surgery, Llc - NPI 1548268535
Northshore Plastic Surgery, Llc is a Plastic And Reconstructive Surgery in Peabody, Massachusetts. Northshore Plastic Surgery, Llc practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Northshore Plastic Surgery, Llc is 1548268535. The last update date is 2022-07-21.
Northshore Plastic Surgery, Llc's current location address is 4 Centennial Dr, Peabody, Massachusetts. You can contact this provider via phone number 9785316966 and fax number 9785312221. The mailing address for Northshore Plastic Surgery, Llc is 4 Centennial Dr, Peabody, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northshore Plastic Surgery, Llc |
|---|---|
| Address | 4 Centennial Dr, Peabody, Massachusetts |
| Phone Number | 9785316966 |
| Fax Number | 9785312221 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wages J David |
| Credentials | M.D. |
| Telephone Number | 9785316966 |
NPI Number Detail
| NPI Number | 1548268535 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4 Centennial Dr |
|---|---|
| City | Peabody |
| State | Massachusetts (MA) |
| Post Code | 196079350 |
| Phone Number | 9785316966 |
| Fax Number | 9785312221 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9707573 | MA | -- |
Post Comment/ Review Below
What is the Northshore Plastic Surgery, Llc's 1548268535?
The Northshore Plastic Surgery, Llc's NPI (National Provider Identifier) Number is 1548268535. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Northshore Plastic Surgery, Llc's facilities are geographically located?
The facilities of Northshore Plastic Surgery, Llc are physically situated at the following location: 4 Centennial Dr, Peabody, MA, 196079350.
What is Northshore Plastic Surgery, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Northshore Plastic Surgery, Llc is Plastic And Reconstructive Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548268535 to Northshore Plastic Surgery, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1548268535 to Northshore Plastic Surgery, Llc on 2005-07-13.
As of what date were the details related to Northshore Plastic Surgery, Llc most recently updated or revised?
The information pertaining to Northshore Plastic Surgery, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.