AESTHETIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.C.
Medical Practice at Longmeadow St, Springfield, MA

License number
Massachusetts 72709
Category
Medical Practice
Type
Specialist
Owner
Name: DR. GLEN S. BROOKS M.D.
Title: PRESIDENT
Phone: (413) 565-4400
Address
Address
776 Longmeadow St, Springfield, MA 01106
National Provider ID: 1598932808
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AESTHETIC PLASTIC AND RECONSTRUCTIVE SURGERY, PC

776 Longmeadow St, Longmeadow, MA 01106

Registration:
Nov 25, 1997
State ID:
043399099
Business type:
Professional Corporation
Directors:
Glen S. Brooks M.d (President), 83 Jonquil Ln, Longmeadow, MA 01106 (Physical),Norman C. Michaels (Secretary), 59 Wimbleton Dr, Longmeadow, MA 01106 (Physical),Glen S Brooks (Director), 83 Jonquil Ln, Longmeadow, MA 01106 (Physical)
Agent:
Glen S. Brooks,776 Longmeadow St, Longmeadow, MA 01106 (Physical)

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