Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hadlock Center for Facial Plastic Surgery PC

Organization Facial Plastic Surgery Physician · NPI 1104507854

Hadlock Center for Facial Plastic Surgery PC provides Facial Plastic Surgery Physician services in Boston, Massachusetts. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 High St
Boston, MA 02110-3036
Phone: (631) 998-3495
Fax: (631) 288-2447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X

Record details

NPI number1104507854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Hadlock — Owner/Physician · (631) 998-3495
NPI enumeratedJuly 26, 2023
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing addressPo Box 12234, Hauppauge, NY 11788-0864

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