PLASTIC & RECONSTRUCTIVE SURGERY INC NPI 1033212170

NPI Information

PLASTIC & RECONSTRUCTIVE SURGERY INC is a plastic and reconstructive surgery surgery in Pawtucket, RI. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC & RECONSTRUCTIVE SURGERY INC NPI is 1033212170. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 SCHOOL STREET
SUITE 305
PAWTUCKET, RI
ZIP 02860
Phone: (401) 728-7950
Fax: (401) 729-7952

The provider's authorized official is Charles F Johnson .
The authorized official title is President and has the following contact phone number (401) 728-7950.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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