| NPI | 1104320985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SPIEGEL Owner/ Provider 617-566-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: MA 205428) |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |