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Organization
CHESTNUT HILL PLASTIC AND AESTHETIC SURGERY ASSOCIATES, LLC
Active
Organization
CHESTNUT HILL PLASTIC AND AESTHETIC SURGERY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMNER A SLAVIN M.D. (OWNER)
(617) 558-7010
Entity
Organization
Contact information
Practice address
200 BOYLSTON ST, SUITE # 307, CHESTNUT HILL, MA 02467-2012
(617) 558-7010
(617) 558-7001
Mailing address
200 BOYLSTON ST, SUITE # 307, CHESTNUT HILL, MA 02467-2012
(617) 558-7010
(617) 558-7001
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
37904
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932148939
NPI
MA
01
—
C05140
PTAN
MA
Enumeration date
08/05/2014
Last updated
08/05/2014
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