NPI 1033212170
Plastic & Reconstructive Surgery INC
Practice location
- Address
- 333 School Street Suite 305, Pawtucket, RI 02860
- Phone
- (401) 728-7950
- Fax
- (401) 729-7952
Authorised official
- Name
- Charles F Johnson
- Title
- President
- Phone
- (401) 728-7950
Registered specialties
Plastic and Reconstructive Surgery Physician
Primary
Registry record
- NPI
- 1033212170
- Entity type
- Organization
- NPI issued
- 6 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.