MEDICARE: ANOUSH HADAEGH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	81524	MA

General Provider Information

NPI Number	:	1053416800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANOUSH HADAEGH MD

Provider Business Mailing Address
First Line	:	29 HICKORY HILL RD
Second Line	:
City	:	MANCHESTER
State	:	MA
Zip	:	01944-1575
Country	:	US
Telephone Number	:	413-222-2292
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 CUMMINGS CTR
Second Line	:	SUITE 301U
City	:	BEVERLY
State	:	MA
Zip	:	01915-6198
Country	:	US
Telephone Number	:	978-972-1500
Fax Number	:	978-972-1555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	12/30/2025

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