Organization
CHESTNUT HILL PLASTIC AND AESTHETIC SURGERY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMNER A SLAVIN M.D. (OWNER)
(617) 558-7010
Entity
Organization
Contact information
Practice address
200 BOYLSTON ST, SUITE # 307, CHESTNUT HILL, MA 02467-2012
(617) 558-7010
(617) 558-7001
Mailing address
200 BOYLSTON ST, SUITE # 307, CHESTNUT HILL, MA 02467-2012
(617) 558-7010
(617) 558-7001
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
37904
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932148939
NPI
MA
01
—
C05140
PTAN
MA
Enumeration date
08/05/2014
Last updated
08/05/2014
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