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Plastic Surgery Of Southern New England, P.C.

Plastic Surgery in Fall River, MA. Organization (NPI-2).

NPI number1114199080
StatusActive
Last updated in NPPESJan 6, 2025

Details

NPI
1114199080
Entity type
Organization (NPI-2)
Legal business name
Plastic Surgery Of Southern New England, P.C.
Organization subpart
No
Enumeration date
Mar 31, 2008
Certification date
Jan 6, 2025
Last updated
Jan 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery045581MAYes

Practice location

775 Davol St Ste 2
Fall River, MA 02720-1028

Phone 508-567-3202 · Fax 508-678-1583

Mailing address

775 Davol St Ste 2
Fall River, MA 02720-1028

Phone 508-567-3202 · Fax 508-678-1583

Authorized official

Megan Tabicas
Practice Manager
5085673202

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