# SOUTH SHORE PLASTIC SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boston Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770719676
- **Authorized official:** FOUAD J SAMAHA M.D. (PRESIDENT)
- **Authorized official phone:** (617) 786-7600

## Contact information

- **Practice address:** 2300 CROWN COLONY DR, SUITE 101, QUINCY, MA 02169-0902
- **Practice address phone:** (617) 786-7600
- **Practice address fax:** (617) 786-7616
- **Mailing address:** 2300 CROWN COLONY DR, SUITE 101, QUINCY, MA 02169-0902
- **Mailing address phone:** (617) 786-7600
- **Mailing address fax:** (617) 786-7616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2009
- **Last updated:** 08/25/2009