Organization Name: | PLASTIC SURGERY ASSOCIATES INC |
NPI Number: | 1083830434 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURENCE MICHAEL EHEINGOLD (PRESIDENT) |
Mailing Address: | 300 Chestnut St Needham |
State: | MA US |
Postal Code: | 024922497 |
Phone Number: | 5087757333 |
Fax Number: | 5087754774 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 31685 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |