Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Plastic Reconstructive & Cosmetic Surgery PC

Plastic and Reconstructive Surgery Physician in Wellesley, MA · enumerated 2006 · authorized official Kenneth Marshall, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023105947

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Registry record

Entity type Organization (Type 2)

Legal business name Plastic Reconstructive & Cosmetic Surgery PC

Practice address 204 Worcester St, Wellesley, MA, 02481

Phone (781) 489-6218

Fax (781) 489-6751

Enumeration date Oct 10, 2006

Last updated in NPPES Jan 22, 2013

Taxonomy & classification

2086S0105X Surgery of the Hand (Surgery) Physician Allopathic & Osteopathic Physicians Secondary

2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kenneth Marshall

Title President

Phone (781) 489-6228

Other identifiers

Identifier	Type	State	Issuer
600215	Other	MA	TUFTS HEALTH PLAN
M12935	Other	MA	BCBS GROUP NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-01-22. Verify at npiregistry.cms.hhs.gov.

Where is Plastic Reconstructive & Cosmetic Surgery PC located?

The practice location on file with NPPES is in Wellesley, MA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-22.