# BOSTON LASER SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1508169129
- **Authorized official:** DR. SAMIR A MELKI M.D. (OWNER)
- **Authorized official phone:** (617) 566-0062

## Contact information

- **Practice address:** 280 HAVERHILL ST, LAWRENCE, MA 01840-1208
- **Practice address phone:** (978) 685-5366
- **Practice address fax:** (978) 685-4867
- **Mailing address:** 1101 BEACON ST, SUITE 6W, BROOKLINE, MA 02446-5587
- **Mailing address phone:** (617) 566-0062
- **Mailing address fax:** (617) 734-3264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 4RIG | MA | Yes |

## Other

- **Enumeration date:** 12/21/2010
- **Last updated:** 12/21/2010