Plastic Surgicenter Inc
LBN: Plastic Surgicenter Inc
Plastic Surgicenter Inc is an health care organization with primary practice located at 131 Ornac John Cuming Building Suite 510, Concord MA 01742. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is the primary health care specialty.
Plastic Surgicenter Inc can be contacted via phone (978) 369-8777, or through Pantazelos, Hytho H via phone (978) 369-8777.
Contact Information
Primary practice address
131 Ornac John Cuming Building Suite 510
Concord MA 01742
Phone: (978) 369-8777
Fax: (978) 369-5554
Website:
Authorized official contact:
Name: Pantazelos, Hytho H Doctor of Medicine (MD)
Phone: (978) 369-8777
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 29312 | Massachusetts |
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | 29312 | Massachusetts |
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 29312 | Massachusetts |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29312 | Massachusetts |
Profile Details
NPI number | 1720265770 |
---|---|
LBN Legal business name | Plastic Surgicenter Inc |
DBA Doing business as | |
Authorized official | Pantazelos, Hytho H Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 22nd, 2008 |
Last updated | Jan 22nd, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720265770 | NPPES |
Massachusetts | MEDICAID | 2010321 | |
Massachusetts | Other | 2401005280 | |
Massachusetts | Other | B14059 |
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