Northshore Plastic Surgery, LLC

NPI #1548268535 in Peabody, Massachusetts

Provider Information

NPI Number: 1548268535
Entity Type: Organization
Organization Name: Northshore Plastic Surgery, LLC
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Enumeration Date: Jul 13, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 4 CENTENNIAL DR
Address 2: STE 102
City: Peabody
State: Massachusetts
ZIP Code: 01960-7935
Phone: (978) 531-6966

Authorized Official

Name: DAVID J WAGES, M.D.
Title: PRESIDENT
Phone: (978) 531-6966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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