Organization
BOSTON LASER SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR A MELKI M.D. (OWNER)
(617) 566-0062
Entity
Organization
Contact information
Practice address
280 HAVERHILL ST, LAWRENCE, MA 01840-1208
(978) 685-5366
(978) 685-4867
Mailing address
1101 BEACON ST, SUITE 6W, BROOKLINE, MA 02446-5587
(617) 566-0062
(617) 734-3264
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4RIG
MA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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