Organization
PLASTIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER THOMAS PACIK MD (PRESIDENT)
(603) 669-0290
Entity
Organization
Contact information
Practice address
57 BAY ST, MANCHESTER, NH 03104-3005
(603) 669-0290
(603) 669-4040
Mailing address
57 BAY ST, MANCHESTER, NH 03104-3005
(603) 669-0290
(603) 669-4040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4674
NH
Other
Enumeration date
04/24/2007
Last updated
07/31/2012
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