Healthcare Provider Details

I. General information

NPI: 1164357794
Provider Name (Legal Business Name): MILLE AESTHETICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 COMMONWEALTH AVE STE 526
BOSTON MA
02215-2606
US

IV. Provider business mailing address

7 CENTRAL TER
AUBURNDALE MA
02466-2304
US

V. Phone/Fax

Practice location:
  • Phone: 617-751-0333
  • Fax:
Mailing address:
  • Phone: 617-431-6669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MIU LAI NG
Title or Position: FOUNDER
Credential: NP
Phone: 617-751-0333