National Provider Identifier Database

PLASTIC RECONSTRUCTIVE COSMETIC SURGERY PC
Plastic and Reconstructive Surgery


Contact Information

PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC
204 WORCESTER ST
WELLESLEY, MA02481-5420
Phone: 781-489-6218
Fax: 781-489-6751
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Surgery of the Hand 2086S0105X

* Indicates primary specialty

NPI Profile & details for PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC

NPI Number 1023105947
Legal business name
LBN
PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC
Authorized official KENNETH MARSHALL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/10/2006
Last updated 01/22/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Other: M12935 BCBS GROUP NUMBER
  • MA Other: 600215 TUFTS HEALTH PLAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC

There are currently no reviews for PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC


NPIdb - Home
v2.201