| Organization Name: | PLASTIC & RECONSTRUCTIVE SURGERY INC |
| NPI Number: | 1033212170 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES F JOHNSON (PRESIDENT) |
| Mailing Address: | 333 School Street Suite 305 Pawtucket |
| State: | RI US |
| Postal Code: | 02860 |
| Phone Number: | 4017287950 |
| Fax Number: | 4017297952 |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |