Provider Demographics
NPI:1336792498
Name:DEXTERITY HAND SURGERY, LLC
Entity Type:Organization
Organization Name:DEXTERITY HAND SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-699-1526
Mailing Address - Street 1:100 UNICORN PARK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-3379
Mailing Address - Country:US
Mailing Address - Phone:781-721-0500
Mailing Address - Fax:781-933-5500
Practice Address - Street 1:100 UNICORN PARK DR STE 102
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-3379
Practice Address - Country:US
Practice Address - Phone:781-721-0500
Practice Address - Fax:781-933-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA218005OtherSTATE LICENSE