Organization
PLASTIC SURGERY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CORBETT (BILLING REPRESENTATIVE)
(207) 497-2996
Entity
Organization
Contact information
Practice address
332 WASHINGTON ST., WELLESLEY, MA 02481
(207) 497-2996
Mailing address
332 WASHINGTON ST., WELLESLEY, MA 02481
(207) 497-2996
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M13945
BCBS
MA
Enumeration date
05/03/2007
Last updated
06/27/2008
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