Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Boston Plastic Surgery Associates, PC

Organization Plastic Surgery Physician · NPI 1417955402

Boston Plastic Surgery Associates, PC is a Plastic Surgery Physician in Boston, Massachusetts. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1153 Centre St Ste 5790
Boston, MA 02130-3446
Phone: (617) 522-0008
Fax: (617) 522-2587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X

Record details

NPI number1417955402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eleanor Pitts — President · (617) 522-0008
NPI enumeratedJuly 13, 2005
Last updated in NPPESOctober 4, 2011
Mailing address340 Main St, Ste. 670, Worcester, MA 01608-1604

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