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Organization

PLASTIC SURGERY CENTRE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN P WYSOCKI MD (PRESIDENT)
(978) 777-5557
Entity
Organization

Contact information

Practice address
85 CONSTITUTION LN, DANVERS, MA 01923-3694
(978) 777-5557
(978) 777-1615
Mailing address
85 CONSTITUTION LN, DANVERS, MA 01923-3694
(978) 777-5557
(978) 777-1615

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9763996
MA
Enumeration date
08/16/2005
Last updated
07/21/2022
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