Organization
PLASTIC SURGERY OF WINCHESTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK R VIRNELLI MD (SOLE PROPRIETOR)
(781) 729-0947
Entity
Organization
Contact information
Practice address
15 DIX STREET, WINCHESTER, MA 01890-1870
(781) 729-0947
(781) 729-3569
Mailing address
15 DIX STREET, WINCHESTER, MA 01890-1870
(781) 729-0947
(781) 729-3569
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
32985
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21731
HARVARD PILGRIM
MA
01
—
600556
TUFTS
MA
05
—
9712526
—
MA
01
—
M12350
BCBS
MA
Enumeration date
05/25/2006
Last updated
07/01/2010
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