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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

NPI Number 1164039152
LBN Legal business name ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC
Authorized official JOHN GRIFFIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2020
Last updated 09/24/2020 - About 6 years ago
Identifiers n/a
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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