Organization
LONGWOOD PLASTIC SURGERY, P.C.
Active
Parent organization
LONGWOOD PLASTIC SURGERY, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONGWOOD PLASTIC SURGERY, P.C.
Authorized official
DR. DONALD JAY MORRIS M.D. (PRESIDENT)
(617) 383-6250
Entity
Organization
Contact information
Practice address
235 CYPRESS ST, SUITE 210, BROOKLINE, MA 02445-6776
(617) 383-6250
(617) 383-6255
Mailing address
235 CYPRESS ST, SUITE 210, BROOKLINE, MA 02445-6776
(617) 383-6250
(617) 383-6255
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
MA
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026491
NEIGHBORHOOD HEALTH PLAN
MA
01
—
688749
TUFTS ASSOCIATED HEALTH PLANS
MA
05
—
9714430
—
MA
01
—
M18020
BCBS GROUP NUMBER
MA
Enumeration date
12/18/2006
Last updated
09/11/2008
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