HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC NPI 1104507854

NPI Information

  • NPI: 1104507854
  • Provider Name: HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 200 HIGH ST
    BOSTON, MA
    ZIP 02110
  • Phone: (631) 998-3495

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NPI Details

HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC is a facial plastic surgery otolaryngology in Boston, MA. The provider is an otolaryngologist who specializes in facial plastic surgery. HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC NPI is 1104507854. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 HIGH ST
BOSTON, MA
ZIP 02110-036
Phone: (631) 998-3495
Fax: (631) 288-2447

The provider's authorized official is Theresa Hadlock .
The authorized official title is Owner/physician and has the following contact phone number (631) 998-3495.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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