Individual
DR. THERESA A. HADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HIGH ST FL 5, BOSTON, MA 02110-3036
(617) 221-6909
Mailing address
200 HIGH ST FL 5, BOSTON, MA 02110-3036
(617) 221-6909
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
213813
MA
Other
Enumeration date
10/31/2005
Last updated
05/29/2025
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