OrganizationActive
Hadlock Center for Facial Plastic Surgery PC
NPI 1104507854 · Facial Plastic Surgery Physician · Boston, MA
Provider details
- NPI number
- 1104507854
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theresa Hadlock, Owner/Physician(631) 998-3495
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 High St
Boston, MA 02110-3036
Phone: (631) 998-3495
Fax: (631) 288-2447
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12234
Hauppauge, NY 11788-0864
Registry dates
- Enumerated
- 2023-07-26
- Last updated
- 2023-07-26
- Certified
- 2023-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.