Organization
SANTAMARINA AESTHETIC AND PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODRIGO SANTAMARINA M.D. (OWNER)
(413) 344-1750
Entity
Organization
Contact information
Practice address
55 PITTSFIELD RD, BUILDING 12C, LENOX, MA 01240-2123
(413) 344-1750
(413) 728-8794
Mailing address
55 PITTSFIELD RD, BUILDING 12C, LENOX, MA 01240-2123
(413) 344-1750
(413) 728-8794
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
219998
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075931A
—
MA
Enumeration date
07/20/2015
Last updated
01/29/2016
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