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Organization
BEACON FACIAL PLASTIC SURGERY, LLC
Active
Organization
BEACON FACIAL PLASTIC SURGERY, LLC
Active
Other names
BFPS
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NUMA M.D. (OWNER)
(617) 697-5387
Entity
Organization
Contact information
Practice address
15 DIX ST, SUITE G, WINCHESTER, MA 01890-1870
(617) 694-6678
Mailing address
15 DIX ST, SUITE G, WINCHESTER, MA 01890-1870
(617) 694-6678
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
226898
MA
Other
Enumeration date
05/13/2009
Last updated
07/01/2009
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