| NPI | 1790987386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE ARTHUR CALIANOS Owner 508-539-6249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 157231) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |