Organization
BOSTON PLASTIC & ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G MEARA M.D. (DIRECTOR)
(617) 355-7252
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, HU-158, BOSTON, MA 02115-5724
(617) 355-7252
(617) 738-1657
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7252
(617) 738-1657
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
208000000X
Pediatrics Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
06/11/2006
Last updated
01/23/2026
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