Advantage Surgical And Wound Care Massachusetts PC
Surgery in Revere, Massachusetts
1164039152- Practice location
- 204 Proctor Ave, Revere, MA 02151-4923
- Phone
- 877-878-3289
- Fax
- 877-817-3227
- Last updated
- September 24, 2020
Advantage Surgical And Wound Care Massachusetts PC is a healthcare organization based in Revere, MA. Advantage Surgical And Wound Care Massachusetts PC practices in Revere, MA. The NPI Number for Advantage Surgical And Wound Care Massachusetts PC is 1164039152. The current practice location address for Advantage Surgical And Wound Care Massachusetts PC is 204 Proctor Ave, Revere, MA 02151-4923 and can be reached out via phone at 877-878-3289 and via fax at 877-817-3227.
Provider Profile Details
- NPI Number
- 1164039152
- Provider Name
- Advantage Surgical And Wound Care Massachusetts PC
- Provider Entity Type
- Organization
- Address
- 204 Proctor Ave, Revere, MA 02151-4923
- Phone Number
- 877-878-3289
- Fax Number
- 877-817-3227
- Primary Taxonomy
- Surgery · 208600000X
- Organization Subpart
- No
- Authorized Official
- John Griffin, MD · President · 877-878-3289
- Provider Enumeration Date
- September 24, 2020
- Last Update Date
- September 24, 2020
- Certification Date
- September 24, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 204 Proctor Ave
Revere, MA 02151-4923 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-4923
- Phone Number
- 877-878-3289
- Fax Number
- 877-817-3227
Provider Business Mailing Address Details
- Address
- 222 N Pacific Coast Hwy Ste 2175
El Segundo, CA 90245-5639 - City
- El Segundo
- State
- CA
- Zip
- 90245-5639
- Phone Number
- 877-878-3289
- Fax Number
- 877-817-3227
License Information
- Taxonomy (1)
- Emergency Medicine, Undersea and Hyperbaric Medicine · 207PE0005X
- Taxonomy (2)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Advantage Surgical And Wound Care Massachusetts PC?
The NPI number of Advantage Surgical And Wound Care Massachusetts PC is 1164039152. It was assigned on September 24, 2020 and is currently active in the NPPES registry.
What is the specialty of Advantage Surgical And Wound Care Massachusetts PC?
Advantage Surgical And Wound Care Massachusetts PC is registered under the primary taxonomy Surgery (code 208600000X).
Where does Advantage Surgical And Wound Care Massachusetts PC practice?
The practice location is 204 Proctor Ave, Revere, MA 02151-4923. The office can be reached at 877-878-3289 (phone) or 877-817-3227 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164039152 directly on the NPPES registry website.