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

Plastic Reconstructive & Cosmetic Surgery PC

Organization Surgery of the Hand (Surgery) Physician · NPI 1023105947

Plastic Reconstructive & Cosmetic Surgery PC is a Surgery of the Hand (Surgery) Physician in Wellesley, Massachusetts. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

204 Worcester St
Wellesley, MA 02481-5420
Phone: (781) 489-6218
Fax: (781) 489-6751
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
Surgery of the Hand (Surgery) Physician Taxonomy 2086S0105X

Record details

NPI number1023105947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Marshall — President · (781) 489-6228
NPI enumeratedOctober 10, 2006
Last updated in NPPESJanuary 22, 2013
Mailing address204 Worcester St, Wellesley, MA 02481-5420