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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

NPI Number 1184858532
LBN Legal business name BEACON FACIAL PLASTIC SURGERY, LLC
Authorized official WILLIAM NUMA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/13/2009
Last updated 07/01/2009 - About 17 years ago
Identifiers
MA License # 226898
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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