Organization · Type 2 NPI
Hadlock Center for Facial Plastic Surgery PC
Facial Plastic Surgery Physician · Boston, MA
NPI number
1104507854
Active
Practice location
200 High St
Boston, MA 02110-3036
Fax (631) 288-2447
Mailing address
PO Box 12234
Hauppauge, NY 11788-0864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | None listed |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
Other facial plastic surgery physician providers in Boston
About NPI 1104507854
Hadlock Center for Facial Plastic Surgery PC's National Provider Identifier is 1104507854, issued on Jul 26, 2023. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Boston, MA. The record was last updated on Jul 26, 2023.