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Organization
SANTAMARINA AESTHETIC AND PLASTIC SURGERY LLC
Active
Organization
SANTAMARINA AESTHETIC AND PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODRIGO SANTAMARINA M.D. (OWNER)
(413) 344-1750
Entity
Organization
Contact information
Practice address
55 PITTSFIELD RD, BUILDING 12C, LENOX, MA 01240-2123
(413) 344-1750
(413) 728-8794
Mailing address
55 PITTSFIELD RD, BUILDING 12C, LENOX, MA 01240-2123
(413) 344-1750
(413) 728-8794
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
219998
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075931A
—
MA
Enumeration date
07/20/2015
Last updated
01/29/2016
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