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PLASTIC AND RECONSTRUCTIVE SURGERY, INC.

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Company Details

Name: PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 30 May 1975 (50 years ago)
Date of Dissolution: 04 Sep 2013 (12 years ago)
Date of Status Change: 04 Sep 2013 (12 years ago)
Identification Number: 000019948
ZIP code: 02860
County: Providence County
Purpose: RECONSTRUCTIVE SURGERY
Principal Address: Google Maps Logo 333 SCHOOL STREET SUITE 305, PAWTUCKET, RI, 02860, USA

Agent

Name Role Address
CHARLES F. JOHNSON, M.D. Agent 333 SCHOOL STREET, PAWTUCKET, RI, 02860, USA

PRESIDENT

Name Role Address
CHARLES F JOHNSON MD PRESIDENT 333 SCHOOL STREET PAWTUCKET, RI 02860 USA

National Provider Identifier

NPI Number:
1033212170

Authorized Person:

Name:
CHARLES F JOHNSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2086S0122X - Plastic and Reconstructive Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
4017297952

Filings

Number Name File Date
201327664810 Articles of Dissolution 2013-09-04
201325052600 Annual Report 2013-06-26
201321786860 Revocation Notice For Failure to File An Annual Report 2013-06-03
201288807020 Annual Report 2012-01-30
201175028260 Annual Report 2011-02-15

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Date of last update: 17 May 2025

Sources: Rhode Island Department of State