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

Plastic Surg Assoc of the South Shore

Organization Plastic Surgery Physician · NPI 1134390966

Plastic Surg Assoc of the South Shore is a Plastic Surgery Physician in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008

Practice location Address checks out

680 Centre St
Brockton, MA 02302-3308
Phone: (781) 749-9071
Fax: (781) 749-2133
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 29097 (MA)

Record details

NPI number1134390966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Frederickson — Owner · (781) 749-9071
NPI enumeratedMarch 19, 2008
Last updated in NPPESJuly 29, 2008
Mailing addressPo Box 86, Hingham, MA 02043-0086