# TLC THE LASER CENTER (NORTHEAST) INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TLC Massachusetts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861606907
- **Authorized official:** BRIAN L ANDREW (SECRETARY)
- **Authorized official phone:** (636) 534-2300

## Contact information

- **Practice address:** 400 5TH AVE, STE. 510, WALTHAM, MA 02451-8706
- **Practice address phone:** (781) 890-9922
- **Mailing address:** 16305 SWINGLEY RIDGE RD, STE. 300, CHESTERFIELD, MO 63017-1777
- **Mailing address phone:** (636) 534-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020