OrganizationActive
Advantage Surgical and Wound Care Massachusetts PC
NPI 1164039152 · Surgery Physician · Revere, MA
Provider details
- NPI number
- 1164039152
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- John Griffin, President
Practice location
204 Proctor Ave
Revere, MA 02151-4923
Phone: (877) 878-3289
Fax: (877) 817-3227
Mailing address
222 N Pacific Coast Hwy Ste 2175
El Segundo, CA 90245-5639
Registry dates
- Enumerated
- 2020-09-24
- Last updated
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.