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

Plastic & Reconstructive Surgery Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1033212170

Plastic & Reconstructive Surgery Inc is a Plastic and Reconstructive Surgery Physician in Pawtucket, Rhode Island. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

333 School St Ste 305
Pawtucket, RI 02860
Phone: (401) 728-7950
Fax: (401) 729-7952
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1033212170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Johnson — President · (401) 728-7950
NPI enumeratedSeptember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address333 School Street, Suite 305, Pawtucket, RI 02860