Healthcare Provider Details

I. General information

NPI: 1497308555
Provider Name (Legal Business Name): HAND SURGERY@DEXTERITY SURGICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2019
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 UNICORN PARK DR STE 102
WOBURN MA
01801-3379
US

IV. Provider business mailing address

100 UNICORN PARK DR STE 102
WOBURN MA
01801-3379
US

V. Phone/Fax

Practice location:
  • Phone: 781-721-0500
  • Fax: 781-933-5500
Mailing address:
  • Phone: 781-721-0500
  • Fax: 781-933-5500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIRGINIA HUNG
Title or Position: SOLE PROVIDER/OWNER
Credential: MD
Phone: 617-699-1526