Organization
BOSTON CENTER FOR FACIAL PLASTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALEED H EZZAT MD (OWNER)
(857) 350-4205
Entity
Organization
Contact information
Practice address
425 BOYLSTON ST FL 3, BOSTON, MA 02116-3324
(857) 350-4205
(857) 350-4708
Mailing address
425 BOYLSTON ST FL 3, BOSTON, MA 02116-3324
(857) 350-4205
(857) 350-4708
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
02/15/2022
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