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

North Shore Ear, Nose & Throat

Organization Facial Plastic Surgery Physician · NPI 1134526429

North Shore Ear, Nose & Throat is a Facial Plastic Surgery Physician in Danvers, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2014.

Licensed in
MA
In the registry since
2014

Practice location Address checks out

104 Endicott St Suire 100
Danvers, MA 01923-3623
Phone: (978) 745-6601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 229239 (MA)

Record details

NPI number1134526429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Mugge — Treasurer · (978) 745-6601
NPI enumeratedDecember 2, 2014
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021
Mailing address104 Endicott St, Suire 100, Danvers, MA 01923-3623

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