Organization
BEACON FACIAL PLASTIC SURGERY, LLC
Active
Other names
BFPS
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NUMA M.D. (OWNER)
(617) 697-5387
Entity
Organization
Contact information
Practice address
15 DIX ST, SUITE G, WINCHESTER, MA 01890-1870
(617) 694-6678
Mailing address
15 DIX ST, SUITE G, WINCHESTER, MA 01890-1870
(617) 694-6678
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
226898
MA
Other
Enumeration date
05/13/2009
Last updated
07/01/2009
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