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BOSTON PLASTIC SURGERY ASSOCIATES PC NPI 1417955402


NPI Information

NPI: 1417955402
Provider Name: BOSTON PLASTIC SURGERY ASSOCIATES, PC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
1153 CENTRE ST
SUITE 5790
BOSTON, MA
ZIP 02130
Phone: (617) 522-0008
Get Directions

BOSTON PLASTIC SURGERY ASSOCIATES, PC is a plastic surgery in Boston, 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. BOSTON PLASTIC SURGERY ASSOCIATES, PC NPI is 1417955402. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1153 CENTRE ST
SUITE 5790
BOSTON, MA
ZIP 02130-446
Phone: (617) 522-0008
Fax: (617) 522-2587

The provider's authorized official is Eleanor C Pitts .
The authorized official title is President and has the following contact phone number (617) 522-0008.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 10/4/2011.


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
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckNo
22082S0105XPlastic SurgerySurgery of the HandNo
32086S0122XSurgeryPlastic and Reconstructive SurgeryNo
4208200000XPlastic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M16157MEDICARE PINMASSACHUSETTS
29783261MEDICAIDMASSACHUSETTS
3M16157MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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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