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PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC
NPI 1023105947
Surgery - Plastic and Reconstructive Surgery in Wellesley, MA

Active since October 10, 2006
204 WORCESTER ST, WELLESLEY, MA 02481(781) 489-6218(781) 489-6751 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Plastic Reconstructive & Cosmetic Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC (NPI 1023105947) is a healthcare organization registered as a plastic and reconstructive surgery in Wellesley, Massachusetts and active in the NPI registry since October 2006. The organization lists Kenneth A Marshall, President, as its authorized official.

NPPES Registry Identity

NPI1023105947
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC
Location Address204 WORCESTER STWellesley, MA 02481-5420
Mailing Address204 Worcester StWellesley, MA 02481-5420 · (781) 489-6218 · Fax (781) 489-6751
Phone(781) 489-6218
Fax(781) 489-6751
Organization SubpartNo
Authorized OfficialKenneth A MarshallPresident · (781) 489-6228
Enumeration DateOctober 10, 2006
Last NPPES UpdateJanuary 22, 2013
✔ NPI 1023105947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X
204 WORCESTER ST, Wellesley, MA 02481
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Other Identifiers 3

Other600215MA · Tufts Health Plan
OtherM12935MA · Bcbs Group Number
Medicare ID-Type UnspecifiedM12935MA · Medicare Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUZANNE DEL FLAX M.S.,CCC-SLP
Speech-Language Pathologist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 237-1769
PROMISE INTEGRATIVE MEDICINE CLINIC
Acupuncturist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (617) 536-1161
HYUN SOO YEO L.AC
Acupuncturist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (213) 222-7481
JASON TAN DPT
Physical Therapist (Orthopedic)
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 772-2406
EMMA WINSLOW THACHER
Physical Therapist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 772-2406
STEPHANIE LEE DPT
Physical Therapist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 772-2406
DR. SABRINA WOLFE DPT
Physical Therapist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 772-2406
ERIN FORSYTHE PT
Physical Therapist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 772-2406

Frequently Asked Questions

What is PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC's NPI number?

The NPI number assigned to this healthcare provider is 1023105947, enumerated as an "organization" on October 10, 2006.

Where is the provider located?

The provider is located at 204 WORCESTER ST WELLESLEY, MA 02481 and the phone number is (781) 489-6218.

What is the provider's specialty?

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

What insurance does PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC accept?

The provider might be accepting Accepts: Tufts Health Plan, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.