Organization
PLYMOUTH LASER CENTER, P.C.
Active
Other names
Plymouth Laser & Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HERLIHY (ADMINISTRATOR)
(508) 833-2010
Entity
Organization
Contact information
Practice address
146 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-7243
(508) 833-6000
(508) 534-6060
Mailing address
PO BOX 4176, PLC DEPT 200, WOBURN, MA 01888-4176
(508) 833-6000
(508) 534-6060
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110031502A
—
MA
01
—
608302
TUFTS
—
01
—
680020
UNITED HEALTHCARE
—
01
—
903042
HARVARD PILGRIM
—
01
—
M88010
BC/BS
MA
01
—
S027793
CHAMPUS/TRICARE
—
Enumeration date
11/17/2006
Last updated
11/06/2025
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