Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Commonwealth Plastic Surgery LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1568854008

Commonwealth Plastic Surgery LLC is a Plastic and Reconstructive Surgery Physician in Quincy, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.

Licensed in
MA
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

500 Congress St Ste B1
Quincy, MA 02169-0908
Phone: (617) 472-6764
Fax: (617) 770-9933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 233883 (MA)

Record details

NPI number1568854008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Genevieve Broderick — Owner · (617) 472-6764
NPI enumeratedFebruary 20, 2015
Last updated in NPPESJune 24, 2015
Mailing address500 Congress St, Suite B1, Quincy, MA 02169-0908

Other providers in Quincy