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

Hadlock Center for Facial Plastic Surgery PC

Organization Facial Plastic Surgery Physician · NPI 1104507854

Hadlock Center for Facial Plastic Surgery PC is a Facial Plastic Surgery Physician in Boston, Massachusetts. Registered with an NPI since 2023.

In the registry since
2023
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

200 High St
Boston, MA 02110-3036
Phone: (631) 998-3495
Fax: (631) 288-2447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X

Record details

NPI number1104507854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Hadlock — Owner/Physician · (631) 998-3495
NPI enumeratedJuly 26, 2023
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing addressPo Box 12234, Hauppauge, NY 11788-0864

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