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Organization
AESTHETIC PLASTIC SURGERY OF NORTH SHORE PC
Active
Organization
AESTHETIC PLASTIC SURGERY OF NORTH SHORE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANOUSH HADAEGH (OWNER)
(413) 222-2292
Entity
Organization
Contact information
Practice address
29 HICKORY HILL RD, MANCHESTER, MA 01944-1575
(413) 222-2292
Mailing address
29 HICKORY HILL RD, MANCHESTER, MA 01944-1575
(413) 222-2292
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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