Organization Name: | PLASTIC SURGICAL ASSOCIATES, INC. |
NPI Number: | 1154450286 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHIAS B. DONELAN (PRESIDENT) |
Mailing Address: | 2000 Washington St Ste 444 Newton Lower Falls |
State: | MA US |
Postal Code: | 024621608 |
Phone Number: | 6172440990 |
Fax Number: | 6179694044 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 01/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 36527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |