OrganizationActive
Plastic & Reconstructive Surgery Inc
NPI 1033212170 · Plastic and Reconstructive Surgery Physician · Pawtucket, RI
Provider details
- NPI number
- 1033212170
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Johnson, President(401) 728-7950
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
333 School Street
Suite 305
Pawtucket, RI 02860
Phone: (401) 728-7950
Fax: (401) 729-7952
Approximate (ZIP-level) locationGet directions
Mailing address
333 School Street
Pawtucket, RI 02860
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.