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Plastic Reconstructive & Cosmetic Surgery Pc
Plastic and Reconstructive Surgery Physician in Wellesley, Massachusetts
NPI 1023105947

Plastic Reconstructive & Cosmetic Surgery Pc is a Plastic and Reconstructive Surgery Physician based in Wellesley, MA and is specialized in Plastic and Reconstructive Surgery. Plastic Reconstructive & Cosmetic Surgery Pc practices in Wellesley, MA. The NPI Number for Plastic Reconstructive & Cosmetic Surgery Pc is 1023105947 and holds a License No. (Massachusetts).

The current practice location address for Plastic Reconstructive & Cosmetic Surgery Pc is 204 Worcester St, Wellesley, MA and can be reached out via phone at 781-489-6218 and via fax at 781-489-6751.

Location: 204 Worcester St, Wellesley, MA, 02481-5420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023105947
Provider Name
Plastic Reconstructive & Cosmetic Surgery Pc
Credential
Provider Entity Type
Organization
Address
204 Worcester St, Wellesley, MA, 02481-5420
Phone Number
781-489-6218
Fax Number
781-489-6751
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600215 01 MA TUFTS HEALTH PLAN
M12935 01 MA BCBS GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
204 Worcester St
City
Wellesley
State
Massachusetts
Zip
02481-5420
Phone Number
781-489-6218
Fax Number
781-489-6751
person
Provider Business Mailing Address Details
Address
204 Worcester St
City
Wellesley
State
Massachusetts
Zip
02481-5420
Phone Number
781-489-6218
Fax Number
781-489-6751
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
()
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
()
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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