Plastic & Reconstructive Surgery INC
NPI #1033212170 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1033212170
- Entity Type
- Organization
- Organization Name
- Plastic & Reconstructive Surgery INC
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 333 SCHOOL STREET
- Address 2
- SUITE 305
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860
- Phone
- (401) 728-7950
Authorized Official
- Name
- CHARLES F JOHNSON, MD
- Title
- PRESIDENT
- Phone
- (401) 728-7950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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