Boston Plastic Surgery
LBN: South Shore Plastic Surgery
Boston Plastic Surgery is an health care organization with primary practice located at 2300 Crown Colony Dr Suite 101, Quincy MA 02169-0902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty.
South Shore Plastic Surgery can be contacted via phone (617) 786-7600, or through Samaha, Fouad J via phone (617) 786-7600.
Contact Information
Primary practice address
2300 Crown Colony Dr Suite 101
Quincy MA 02169-0902
Phone: (617) 786-7600
Fax: (617) 786-7616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 78298 | Massachusetts |
Profile Details
| NPI number | 1093701708 |
|---|---|
| LBN Legal business name | South Shore Plastic Surgery |
| DBA Doing business as | Boston Plastic Surgery |
| Authorized official | Samaha, Fouad J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Mar 9th, 2009 - about 15 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 | 1093701708 | NPPES |
| Massachusetts | Other | 0009857 | NHP |
| Massachusetts | Other | 21222 | NHP |
| Massachusetts | MEDICAID | 9779787 | NHP |
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