Commonwealth Plastic Surgery LLC

NPI #1568854008 in Quincy, Massachusetts

Provider Information

NPI Number
1568854008
Entity Type
Organization
Organization Name
Commonwealth Plastic Surgery LLC
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Enumeration Date
Feb 20, 2015
Last Updated
Jun 24, 2015

Practice Location

Address
500 CONGRESS ST
Address 2
SUITE B1
City
Quincy
ZIP Code
02169-0908
Phone
(617) 472-6764

Authorized Official

Name
DR. GENEVIEVE B BRODERICK, MD
Title
OWNER
Phone
(617) 472-6764

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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