Provider Demographics
NPI:1851336499
Name:NEW ENGLAND PLASTIC SURGICAL ASSOCIATES, PC
Entity Type:Organization
Organization Name:NEW ENGLAND PLASTIC SURGICAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-969-9500
Mailing Address - Street 1:29 CRAFTS ST
Mailing Address - Street 2:SUITE 370
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1275
Mailing Address - Country:US
Mailing Address - Phone:617-965-9500
Mailing Address - Fax:
Practice Address - Street 1:29 CRAFTS ST
Practice Address - Street 2:SUITE 370
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1275
Practice Address - Country:US
Practice Address - Phone:617-969-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM19078OtherBC BS OF MA
MAM21839Medicare PIN