Plastic Reconstructive & Cosmetic Surgery Pc

NPI 1023105947 - Surgery - 2086S0105X

NPI Details
NPI 1023105947
Enumeration Date 10/10/2006
Last Updated 01/22/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH A KENNETH
Position PRESIDENT
Phone (781) 489-6218
Fax (781) 489-6751
Practice Location
204 WORCESTER ST
WELLESLEY MA, 02481-5420, US
Phone (781) 489-6218
Fax (781) 489-6751
Business Location
204 WORCESTER ST
WELLESLEY MA, 02481-5420, US
Phone (781) 489-6218
Fax (781) 489-6751
Toxanomy
Taxonomy Code 2086S0105X
License State
License Number
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According to our database, Plastic Reconstructive & Cosmetic Surgery Pc NPI is 1023105947, taxonomy code is 2086S0105X Plastic Reconstructive & Cosmetic Surgery Pc physically located at 204 Worcester St, Wellesley MA, 02481-5420. NPI Number 1033115704 has the healthcare provider type.

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1023105947 NPI number is provided on an as is basis without warranty of any kind. 1023105947 is maintained by the National Plan & Provider Enumeration System. The contents of Plastic Reconstructive & Cosmetic Surgery Pc are for informational purposes only.