# BOSTON CENTER FOR FACIAL PLASTICS

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

## Provider details

- **NPI number:** 1780336180
- **Authorized official:** WALEED H EZZAT MD (OWNER)
- **Authorized official phone:** (857) 350-4205

## Contact information

- **Practice address:** 425 BOYLSTON ST FL 3, BOSTON, MA 02116-3324
- **Practice address phone:** (857) 350-4205
- **Practice address fax:** (857) 350-4708
- **Mailing address:** 425 BOYLSTON ST FL 3, BOSTON, MA 02116-3324
- **Mailing address phone:** (857) 350-4205
- **Mailing address fax:** (857) 350-4708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YS0123X | Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2022
- **Last updated:** 02/15/2022