| NPI | 1740228360 |
|---|---|
| Former Legal Business Name | FACULTY PRACTICE FOUNDATION BOSTON UNIV PLASTIC SURGERY ASSOC |
| Entity Type | Organization |
| Authorized Contact | DAVID MCANENY Interim President 617-638-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2016-10-10 |