Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc in North Andover - Medical Specialty
Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc - NPI 1154506103
Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc is a Medical Specialty in North Andover, Massachusetts. Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc is 1154506103. The last update date is 2012-10-22.
Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc's current location address is 451 Andover St, North Andover, Massachusetts. You can contact this provider via phone number 9786871313 and fax number 9786858910. The mailing address for Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc is 451 Andover St, North Andover, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc |
|---|---|
| Address | 451 Andover St, North Andover, Massachusetts |
| Phone Number | 9786871313 |
| Fax Number | 9786858910 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Scully Joseph Stephen |
| Credentials | M.D. |
| Telephone Number | 9786871313 |
NPI Number Detail
| NPI Number | 1154506103 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2012-10-22 |
Provider Mailing Address Detail
| Address | 451 Andover St |
|---|---|
| City | North Andover |
| State | Massachusetts (MA) |
| Post Code | 18455044 |
| Phone Number | 9786871313 |
| Fax Number | 9786858910 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 27779 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique identifier code issued to Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc has been assigned the NPI (National Provider Identifier) 1154506103. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc located?
The Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc is located at 451 Andover St, North Andover, MA 18455044.
What is Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc's area of specialization is Medical Specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2500X.
On what date did the Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc receive its 1154506103 assignment from the Centers for Medicare & Medicaid Services?
The Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc was assigned its 1154506103 by the Centers for Medicare & Medicaid Services on 2008-01-08.
When was the information regarding Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc most recently updated?
The details pertaining to the Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc, including its address, specialty, and other relevant information, were last refreshed on 2012-10-22.