| Organization Name: | PLASTIC SURGERY CENTRE INC |
| NPI Number: | 1073505129 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN P WYSOCKI (PRESIDENT) |
| Mailing Address: | 85 Constitution Ln Danvers |
| State: | MA US |
| Postal Code: | 019233694 |
| Phone Number: | 9787775557 |
| Fax Number: | 9787771615 |
| NPI Enumeration Date: | 08/16/2005 |
| NPI Last Update Date: | 04/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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. |