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Contact Information

BEACON FACIAL PLASTIC SURGERY, LLC
15 DIX ST
SUITE G
WINCHESTER, MA01890-1870
 Phone: 617-694-6678
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for BEACON FACIAL PLASTIC SURGERY LLC · (Female)

NPI # 1184858532
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2009
Last updated 07/01/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 226898
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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