Northshore Plastic Surgery, Llc

LBN: Northshore Plastic Surgery, Llc
Northshore Plastic Surgery, Llc is an health care organization with primary practice located at 4 Centennial Dr Ste 102, Peabody MA 01960-7935. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Northshore Plastic Surgery, Llc can be contacted via phone (978) 531-6966, or through Wages, David J via phone (978) 531-6966.

Contact Information

Primary practice address
4 Centennial Dr Ste 102 Peabody MA 01960-7935
Phone: (978) 531-6966
Fax: (978) 531-2221
Website:
Map and Directions
Authorized official contact:
Name: Wages, David J Doctor of Medicine (MD)
Phone: (978) 531-6966

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X Massachusetts

Profile Details

NPI number 1548268535
LBN Legal business name Northshore Plastic Surgery, Llc
DBA Doing business as
Authorized official Wages, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548268535 NPPES
Massachusetts MEDICAID 9707573

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