# AESTHETIC PLASTIC SURGERY OF NORTH SHORE PC

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

## Provider details

- **NPI number:** 1831510528
- **Authorized official:** ANOUSH HADAEGH (OWNER)
- **Authorized official phone:** (413) 222-2292

## Contact information

- **Practice address:** 29 HICKORY HILL RD, MANCHESTER, MA 01944-1575
- **Practice address phone:** (413) 222-2292
- **Mailing address:** 29 HICKORY HILL RD, MANCHESTER, MA 01944-1575
- **Mailing address phone:** (413) 222-2292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2013
- **Last updated:** 12/23/2013