Derosa, Jaimie
Derosa, Jaimie is an individual health care provider with primary practice located at 91 Newbury St Suite 300, Boston MA 02116-3084. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is her primary health care specialty. Derosa, Jaimie can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 237016 | Massachusetts |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 237016 | Massachusetts |
Profile Details
| NPI number | 1023057031 |
|---|---|
| LBN Legal business name | Derosa, Jaimie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | May 24th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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