Plastic & Reconstructive Surgery Inc in Pawtucket - Plastic And Reconstructive Surgery
Plastic & Reconstructive Surgery Inc - NPI 1033212170
Plastic & Reconstructive Surgery Inc is a Plastic And Reconstructive Surgery in Pawtucket, Rhode Island. Plastic & Reconstructive Surgery Inc practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Plastic & Reconstructive Surgery Inc is 1033212170. The last update date is 2020-08-22.
Plastic & Reconstructive Surgery Inc's current location address is 333 School Street, Pawtucket, Rhode Island. You can contact this provider via phone number 4017287950 and fax number 4017297952. The mailing address for Plastic & Reconstructive Surgery Inc is 333 School Street, Pawtucket, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Plastic & Reconstructive Surgery Inc |
|---|---|
| Address | 333 School Street, Pawtucket, Rhode Island |
| Phone Number | 4017287950 |
| Fax Number | 4017297952 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Johnson F Charles |
| Credentials | MD |
| Telephone Number | 4017287950 |
NPI Number Detail
| NPI Number | 1033212170 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 333 School Street |
|---|---|
| City | Pawtucket |
| State | Rhode Island (RI) |
| Post Code | 2860 |
| Phone Number | 4017287950 |
| Fax Number | 4017297952 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1300103 | UNITED HEALTHCARE | ||
| 1120 | RI | BLUE CHIP | |
| 20624 | RI | BLUE CROSS BLUE SHIELD | |
| 207928001 | CIGNA |
Post Comment/ Review Below
What is the unique identifier code issued to Plastic & Reconstructive Surgery Inc by the Centers for Medicare & Medicaid Services?
The Plastic & Reconstructive Surgery Inc has been assigned the NPI (National Provider Identifier) 1033212170. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Plastic & Reconstructive Surgery Inc is physically located?
The Plastic & Reconstructive Surgery Inc is situated at the following address: 333 School Street, Pawtucket, RI 2860.
What is the Plastic & Reconstructive Surgery Inc's specialty and taxonomy code?
The Plastic & Reconstructive Surgery Inc's specialty is Plastic And Reconstructive Surgery, and the corresponding taxonomy code is 2086S0122X.
On what date was the 1033212170 assigned to Plastic & Reconstructive Surgery Inc?
The Plastic & Reconstructive Surgery Inc was issued its 1033212170 on 2006-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Plastic & Reconstructive Surgery Inc most recently updated or revised?
The information pertaining to Plastic & Reconstructive Surgery Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.