OrganizationActive
North Shore Ear, Nose & Throat
NPI 1134526429 · Facial Plastic Surgery Physician · Danvers, MA
Provider details
- NPI number
- 1134526429
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Mugge, Treasurer(978) 745-6601
- License
- 229239 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
104 Endicott St
Suire 100
Danvers, MA 01923-3623
Phone: (978) 745-6601
Approximate (ZIP-level) locationGet directions
Mailing address
104 Endicott St
Danvers, MA 01923-3623
Registry dates
- Enumerated
- 2014-12-02
- Last updated
- 2021-12-29
- Certified
- 2021-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.