Organization
BOSTON CENTER FOR AMBULATORY SURGERY INC
Active
Other names
The Boston Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN MARIE MCGRANE (ADMINISTRATOR)
(978) 535-6043
Entity
Organization
Contact information
Practice address
170 COMMONWEALTH AVE, BOSTON, MA 02116
(617) 267-0710
(617) 236-8704
Mailing address
170 COMMONWEALTH AVE, BOSTON, MA 02116
(617) 267-0710
(617) 236-8704
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
221000
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BOM77001
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/01/2006
Last updated
06/03/2008
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