| NPI | 1720265770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYTHO H PANTAZELOS Plastic Surgeon 978-369-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 29312) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: MA 29312) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 29312) | |
| 208600000X Surgery (Licence: MA 29312) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |