Organization
PLASTIC COSMETIC & RECONSTRUCTIVE SURGERY OF MERRIMACK VALLEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOSEPH SCULLY M.D. (OWNER)
(978) 687-1313
Entity
Organization
Contact information
Practice address
451 ANDOVER ST, NORTH ANDOVER, MA 01845-5044
(978) 687-1313
(978) 685-8910
Mailing address
451 ANDOVER ST, NORTH ANDOVER, MA 01845-5044
(978) 687-1313
(978) 685-8910
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
27779
MA
Other
Enumeration date
01/08/2008
Last updated
10/22/2012
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