# BEACON FACIAL PLASTIC SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BFPS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184858532
- **Authorized official:** WILLIAM NUMA M.D. (OWNER)
- **Authorized official phone:** (617) 697-5387

## Contact information

- **Practice address:** 15 DIX ST, SUITE G, WINCHESTER, MA 01890-1870
- **Practice address phone:** (617) 694-6678
- **Mailing address:** 15 DIX ST, SUITE G, WINCHESTER, MA 01890-1870
- **Mailing address phone:** (617) 694-6678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 226898 | MA | Yes |

## Other

- **Enumeration date:** 05/13/2009
- **Last updated:** 07/01/2009