Organization
AESTHETIC PLASTIC SURGERY OF NORTH SHORE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANOUSH HADAEGH (OWNER)
(413) 222-2292
Entity
Organization
Contact information
Practice address
29 HICKORY HILL RD, MANCHESTER, MA 01944-1575
(413) 222-2292
Mailing address
29 HICKORY HILL RD, MANCHESTER, MA 01944-1575
(413) 222-2292
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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