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PLASTIC SURGERY OF SOUTHERN NEW ENGLAND P.C. NPI 1114199080


NPI Information

NPI: 1114199080
Provider Name: PLASTIC SURGERY OF SOUTHERN NEW ENGLAND, P.C.
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 22D2279999

Address:
775 DAVOL ST STE 2
FALL RIVER, MA
ZIP 02720
Phone: (508) 567-3202
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PLASTIC SURGERY OF SOUTHERN NEW ENGLAND, P.C. is a plastic surgery in Fall River, MA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. PLASTIC SURGERY OF SOUTHERN NEW ENGLAND, P.C. NPI is 1114199080. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

775 DAVOL ST STE 2
FALL RIVER, MA
ZIP 02720-028
Phone: (508) 567-3202
Fax: (508) 678-1583

The provider's authorized official is Meghann Gould .
The authorized official title is Office Manager and has the following contact phone number (508) 567-3202.

The CLIA number assigned to this NPI record is 22D2279999 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2008 and was last updated on 10/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery045581MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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