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Organization
HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC
Active
Organization
HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA HADLOCK MD (OWNER/PHYSICIAN)
(631) 998-3495
Entity
Organization
Contact information
Practice address
200 HIGH ST, BOSTON, MA 02110-3036
(631) 998-3495
(631) 288-2447
Mailing address
PO BOX 12234, HAUPPAUGE, NY 11788-0864
(631) 699-2462
(631) 288-2447
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
NULL
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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