Organization
BOSTON FACIAL PLASTIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFFI DER SARKISSIAN MD (PRESIDENT)
(617) 472-3137
Entity
Organization
Contact information
Practice address
500 CONGRESS ST, SUITE 2A, QUINCY, MA 02169-0908
(617) 472-3137
(617) 472-1012
Mailing address
1686 WASHINGTON ST, BOSTON, MA 02118-3383
(617) 927-0037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
150911
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3152391
—
MA
01
—
M18940
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/18/2008
Last updated
07/11/2019
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