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PLASTIC COSMETIC & RECONSTRUCTIVE SURGERY OF MERRIMACK VALLEY INC
NPI 1154506103
Clinic/Center - Medical Specialty in North Andover, MA

Active since January 08, 2008
451 ANDOVER ST, NORTH ANDOVER, MA 01845(978) 687-1313(978) 685-8910 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLASTIC COSMETIC & RECONSTRUCTIVE SURGERY OF MERRIMACK VALLEY INC (NPI 1154506103) is a healthcare organization registered as a medical specialty in North Andover, Massachusetts and active in the NPI registry since January 2008. The organization lists Stephen Joseph Scully, Owner, as its authorized official.

NPPES Registry Identity

NPI1154506103
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePLASTIC COSMETIC & RECONSTRUCTIVE SURGERY OF MERRIMACK VALLEY INC
Location Address451 ANDOVER STNorth Andover, MA 01845-5044
Mailing Address451 Andover StNorth Andover, MA 01845-5044 · (978) 687-1313 · Fax (978) 685-8910
Phone(978) 687-1313
Fax(978) 685-8910
Organization SubpartNo
Authorized OfficialStephen Joseph ScullyOwner · (978) 687-1313
Enumeration DateJanuary 8, 2008
Last NPPES UpdateOctober 22, 2012
✔ NPI 1154506103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MA · 27779
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
451 ANDOVER ST, North Andover, MA 01845
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Other Identifiers 2

Medicare UPINM12196MA
Medicare UPIND24010MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MANDY CHAN DMD
Dentist (General Practice)
451 ANDOVER ST, STE G6
NORTH ANDOVER, MA 01845
Essex County (978) 681-9911
OB-GYN WOMEN'S CARE
Specialist
451 ANDOVER ST, SUITE 335
N ANDOVER, MA 01845
Essex County (978) 688-9979
DENISE C HENNEBERRY PSYD
Psychologist
451 ANDOVER ST, SUITE 301
NORTH ANDOVER, MA 01845
Essex County (617) 388-7182
FOOT HEALTH CENTER OF MERRIMACK VALLEY - LOWELL PC
Podiatrist (Foot Surgery)
451 ANDOVER ST, SUITE 209
NORTH ANDOVER, MA 01845
Essex County (978) 686-7623
MRS. ROSEMARIE L. WETMORE MSW
Social Worker (Clinical)
451 ANDOVER ST, SUITE 213
NORTH ANDOVER, MA 01845
Essex County (978) 975-2107
OVERLOOK THERAPY LLC
Social Worker (Clinical)
451 ANDOVER ST, SUITE 185
NORTH ANDOVER, MA 01845
Essex County (978) 482-7410
PAVILION MEDICAL HOME CARE & STAFFING LLC
Home Health
451 ANDOVER ST, SUITE #211A
NORTH ANDOVER, MA 01845
Essex County (240) 346-7488
FOOT HEALTH CENTER OF MERRIMACK VALLEY-WIN PC
Podiatrist (Foot Surgery)
451 ANDOVER ST, SUITE 209
NORTH ANDOVER, MA 01845
Essex County (978) 686-7623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc's NPI number?

The NPI number for Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc is 1154506103. It was assigned to this organization in the NPPES registry on January 8, 2008.

Where is Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc located?

Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc is located at 451 Andover St, North Andover, MA 01845. The listed phone number is (978) 687-1313.

What is Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Plastic Cosmetic & Reconstructive Surgery Of Merrimack Valley Inc was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.