# MIDDLESEX ORAL SURGERY GROUP

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

## Provider details

- **NPI number:** 1649279118
- **Authorized official:** JEROME D ANDERSON DDS (PRESIDENT)
- **Authorized official phone:** (508) 485-3245

## Contact information

- **Practice address:** 126 UNION ST, MARLBORO, MA 01752-1207
- **Practice address phone:** (508) 485-3245
- **Practice address fax:** (508) 485-5957
- **Mailing address:** 126 UNION ST, MARLBORO, MA 01752-1207
- **Mailing address phone:** (508) 485-3245
- **Mailing address fax:** (508) 485-5957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | MA | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 07/21/2022