# PLASTIC COSMETIC & RECONSTRUCTIVE SURGERY OF MERRIMACK VALLEY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154506103
- **Authorized official:** DR. STEPHEN JOSEPH SCULLY M.D. (OWNER)
- **Authorized official phone:** (978) 687-1313

## Contact information

- **Practice address:** 451 ANDOVER ST, NORTH ANDOVER, MA 01845-5044
- **Practice address phone:** (978) 687-1313
- **Practice address fax:** (978) 685-8910
- **Mailing address:** 451 ANDOVER ST, NORTH ANDOVER, MA 01845-5044
- **Mailing address phone:** (978) 687-1313
- **Mailing address fax:** (978) 685-8910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 27779 | MA | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 10/22/2012