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PLASTIC SURGICENTER INC NPI 1720265770


NPI Information

NPI: 1720265770
Provider Name: PLASTIC SURGICENTER INC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
131 ORNAC
JOHN CUMING BUILDING SUITE 510
CONCORD, MA
ZIP 01742
Phone: (978) 369-8777
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PLASTIC SURGICENTER INC is a plastic surgery in Concord, 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 SURGICENTER INC NPI is 1720265770. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

131 ORNAC
JOHN CUMING BUILDING SUITE 510
CONCORD, MA
ZIP 01742
Phone: (978) 369-8777
Fax: (978) 369-5554

The provider's authorized official is Hytho H Pantazelos .
The authorized official title is Plastic Surgeon and has the following contact phone number (978) 369-8777.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 1/22/2008.


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 Neck29312MASSACHUSETTSNo
22082S0105XPlastic SurgerySurgery of the Hand29312MASSACHUSETTSNo
3208600000XSurgery29312MASSACHUSETTSNo
4208200000XPlastic Surgery29312MASSACHUSETTSYes

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
12010321MEDICAIDMASSACHUSETTS
2B14059OTHERMASSACHUSETTSBLUE CROSS
32401005280OTHERMASSACHUSETTSRR MEDICARE

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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