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Contact Information

ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC
204 PROCTOR AVE
REVERE, MA02151-4923
 Phone: 877-878-3289
 Fax: 877-817-3227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC · (Female)

NPI # 1164039152
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2020
Last updated 09/24/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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