Organization
COASTAL PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAX GUENTHER MD (SOLE MBR)
(781) 740-7840
Entity
Organization
Contact information
Practice address
2 POND PARK RD STE 308, COASTAL PLASTIC SURGERY LLC, HINGHAM, MA 02043-4354
(781) 740-7840
(781) 740-9840
Mailing address
2 POND PARK RD STE 308, COASTAL PLASTIC SURGERY LLC, HINGHAM, MA 02043-4354
(781) 740-7840
(781) 740-9840
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
219506
MA
Other
Enumeration date
07/11/2012
Last updated
05/06/2014
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