Individual provider · Type 1 NPI
Thaddeus Stanice Boucree, MD, DDS
Plastic Surgery Physician · Shrewsbury, NJ
Practice location
535 Sycamore Ave
Shrewsbury, NJ 07702
Fax (732) 747-2606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 25MA10083000 (NJ) |
| Plastic Surgery Physician Primary | 208200000X | 25MA10083000 (NJ) |
| Plastic Surgery Physician | 208200000X | 301972 (NY) |
Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…
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About NPI 1942464417
Thaddeus Stanice Boucree, MD, DDS's National Provider Identifier is 1942464417, issued on Jul 15, 2008. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Shrewsbury, NJ. The record was last updated on Sep 15, 2025.