Organization
BOSTON PLASTIC SURGERY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR C PITTS MD (PRESIDENT)
(617) 522-0008
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, SUITE 5790, BOSTON, MA 02130-3446
(617) 522-0008
(617) 522-2587
Mailing address
340 MAIN ST, STE. 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 438-6364
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9783261
—
MA
Enumeration date
07/13/2005
Last updated
10/04/2011
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