Organization
HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA HADLOCK MD (OWNER/PHYSICIAN)
(631) 998-3495
Entity
Organization
Contact information
Practice address
200 HIGH ST, BOSTON, MA 02110-3036
(631) 998-3495
(631) 288-2447
Mailing address
PO BOX 12234, HAUPPAUGE, NY 11788-0864
(631) 699-2462
(631) 288-2447
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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