Organization
AESTHETIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN S. BROOKS M.D. (PRESIDENT)
(413) 565-4400
Entity
Organization
Contact information
Practice address
776 LONGMEADOW ST, LONGMEADOW, MA 01106-2219
(413) 565-4400
(413) 565-4411
Mailing address
776 LONGMEADOW ST, LONGMEADOW, MA 01106-2219
(413) 565-4400
(413) 565-4411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
72709
MA
Other
Enumeration date
05/15/2008
Last updated
11/06/2012
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