PLASTIC SURGERY PA
NPI 1326267154
Clinic/Center - Ambulatory Surgical in Manchester, NH

Active since April 24, 2007
57 BAY ST, MANCHESTER, NH 03104(603) 669-0290(603) 669-4040 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About PLASTIC SURGERY PA

This page provides the complete NPI Profile along with additional information for Plastic Surgery Pa, a provider established in Manchester, New Hampshire operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1326267154 assigned on April 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 4674 (NH). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Peter Thomas Pacik Md (President)

NPI
1326267154 Verify this NPI
Provider Name
PLASTIC SURGERY PA
Entity Type
Organization
Location Address
57 BAY ST MANCHESTER, NH 03104
Location Phone
(603) 669-0290
Location Fax
(603) 669-4040
Mailing Address
57 BAY ST MANCHESTER, NH 03104
Mailing Phone
(603) 669-0290
Mailing Fax
(603) 669-4040
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2007
Last Update Date
07-31-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
4674
License State
NH

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PETER THOMAS PACIK MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(603) 669-0290

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Plastic Surgery
57 BAY ST
MANCHESTER, NH 03104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326267154, enumerated as an "organization" on April 24, 2007.

The provider is located at 57 BAY ST MANCHESTER, NH 03104 and the phone number is (603) 669-0290.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.