| Organization Name: | PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC |
| NPI Number: | 1023105947 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH A MARSHALL (PRESIDENT) |
| Mailing Address: | 204 Worcester St Wellesley |
| State: | MA US |
| Postal Code: | 024815420 |
| Phone Number: | 7814896218 |
| Fax Number: | 7814896751 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 01/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0105X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Surgery of the Hand |
| Taxonomy 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. |