Organization
GREATER BOSTON PLASTIC SURGERY & LUXE AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSTAFA NOURY MD (OWNER)
(413) 348-5192
Entity
Organization
Contact information
Practice address
10 ROSEBERRY DR, BOYLSTON, MA 01505-2024
(413) 348-5192
Mailing address
10 ROSEBERRY DR, BOYLSTON, MA 01505-2024
(413) 348-5192
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
257625
MA
Other
Enumeration date
06/03/2014
Last updated
06/24/2014
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