Organization
SOUTH SHORE PLASTIC SURGERY
Active
Other names
Boston Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
FOUAD J SAMAHA M.D. (PRESIDENT)
(617) 786-7600
Entity
Organization
Contact information
Practice address
2300 CROWN COLONY DR, SUITE 101, QUINCY, MA 02169-0902
(617) 786-7600
(617) 786-7616
Mailing address
2300 CROWN COLONY DR, SUITE 101, QUINCY, MA 02169-0902
(617) 786-7600
(617) 786-7616
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
78298
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009857
NHP
MA
01
—
21222
HPHC
MA
05
—
9779787
—
MA
Enumeration date
09/27/2005
Last updated
03/09/2009
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