COMMONWEALTH PLASTIC SURGERY LLC – NPI #1568854008
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

COMMONWEALTH PLASTIC SURGERY LLC is a surgeon located in QUINCY, MA. NPPES has assigned the NPI number 1568854008 to COMMONWEALTH PLASTIC SURGERY LLC on February 20, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 11 years ago on Jun 24, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMONWEALTH PLASTIC SURGERY LLC below.

NPI Profile for
COMMONWEALTH PLASTIC SURGERY LLC

NPI Number
1568854008
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMONWEALTH PLASTIC SURGERY LLC
Primary location
500 CONGRESS ST
SUITE B1
QUINCY, MA 02169-0908
Phone: (617) 472-6764 Fax: (617) 770-9933
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GENEVIEVE BRODERICK
OWNER
Phone: (617) 472-6764
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 MA 233883

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.