Coastal Plastic Surgery, LLC

NPI #1740545144 in Hingham, Massachusetts

Provider Information

NPI Number: 1740545144
Entity Type: Organization
Organization Name: Coastal Plastic Surgery, LLC
Primary Specialty: Plastic Surgery
Enumeration Date: Jul 11, 2012
Last Updated: May 6, 2014

Practice Location

Address: 2 POND PARK RD STE 308
Address 2: COASTAL PLASTIC SURGERY LLC
City: Hingham
State: Massachusetts
ZIP Code: 02043-4354
Phone: (781) 740-7840

Authorized Official

Name: DR. DAX GUENTHER, MD
Title: SOLE MBR
Phone: (781) 740-7840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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