PLASTIC AND RECONSTRUCTIVE SURGEONS LTD NPI 1528179686

NPI Information

  • NPI: 1528179686
  • Provider Name: PLASTIC AND RECONSTRUCTIVE SURGEONS LTD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 1130 HIGHWAY 315
    WILKES BARRE, PA
    ZIP 18702
  • Phone: (570) 821-2820

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NPI Details

PLASTIC AND RECONSTRUCTIVE SURGEONS LTD is a plastic and reconstructive surgery surgery in Wilkes Barre, PA. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC AND RECONSTRUCTIVE SURGEONS LTD NPI is 1528179686. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1130 HIGHWAY 315
WILKES BARRE, PA
ZIP 18702-952
Phone: (570) 821-2820
Fax: (570) 825-7962

The provider's authorized official is Shirley A Shaffer .
The authorized official title is Office Manager and has the following contact phone number (570) 821-2820.

The enumeration date for this NPI number is 8/31/2006 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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