# KOHLI PLASTIC SURGERY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104292101
- **Authorized official:** DR. GURMANDER SINGH KOHLI M.D. (PRESIDENT)
- **Authorized official phone:** (978) 255-2354

## Contact information

- **Practice address:** 675 PARAMOUNT DR, SUITE 304, RAYNHAM, MA 02767-5416
- **Practice address phone:** (978) 255-2354
- **Practice address fax:** (978) 666-0403
- **Mailing address:** 675 PARAMOUNT DR, SUITE 304, RAYNHAM, MA 02767-5416
- **Mailing address phone:** (978) 255-2354
- **Mailing address fax:** (978) 666-0403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 38488 | MA | Yes |

## Other

- **Enumeration date:** 08/13/2015
- **Last updated:** 08/13/2015