| NPI | 1497156392 |
|---|---|
| Former Legal Business Name | ADVANCED FACIAL AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY H SPIEGEL Sole Proprietor 617-566-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 205428) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2018-10-05 |