# SANTAMARINA AESTHETIC AND PLASTIC SURGERY LLC

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

## Provider details

- **NPI number:** 1780069765
- **Authorized official:** RODRIGO SANTAMARINA M.D. (OWNER)
- **Authorized official phone:** (413) 344-1750

## Contact information

- **Practice address:** 55 PITTSFIELD RD, BUILDING 12C, LENOX, MA 01240-2123
- **Practice address phone:** (413) 344-1750
- **Practice address fax:** (413) 728-8794
- **Mailing address:** 55 PITTSFIELD RD, BUILDING 12C, LENOX, MA 01240-2123
- **Mailing address phone:** (413) 344-1750
- **Mailing address fax:** (413) 728-8794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 219998 | MA | Yes |

## Other

- **Enumeration date:** 07/20/2015
- **Last updated:** 01/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110075931A | — | MA |