<Unavail>

LBN: Derosa Facial Plastic Surgery Pc
<Unavail> is an health care organization with primary practice located at 91 Newbury St Suite 300, Boston MA 02116-3084. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as the primary health care specialty. Derosa Facial Plastic Surgery Pc can be contacted via phone (617) 262-8000, or through Derosa, Jaimie via phone (617) 262-8000.

Contact Information

Primary practice address
91 Newbury St Suite 300 Boston MA 02116-3084
Phone: (617) 262-8000
Fax: (617) 262-8002
Website:
Map and Directions
Authorized official contact:
Name: Derosa, Jaimie Doctor of Medicine (MD)
Phone: (617) 262-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 237016 Massachusetts

Profile Details

NPI number 1164867479
LBN Legal business name Derosa Facial Plastic Surgery Pc
DBA Doing business as <Unavail>
Authorized official Derosa, Jaimie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2013
Last updated Oct 15th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164867479 NPPES
Other 0032529 MEDICARE GROUP PTAN
Other 000755302 MEDICARE GROUP PTAN

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