Organization
BOSTON UNIVERSITY PLASTIC SURGERY ASSOCIATES, INC.
Active
Other names
Faculty Practice Foundation Boston Univ Plastic Surgery Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCANENY MD (INTERIM PRESIDENT)
(617) 638-8446
Entity
Organization
Contact information
Practice address
720 HARRISON AVE, SUITE 9400, BOSTON, MA 02118-2371
(617) 638-8419
(617) 414-8412
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110067571A
—
MA
Enumeration date
06/04/2006
Last updated
10/10/2016
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