Desiato, Joseph William

Desiato, Joseph William is an sole proprietor health care provider with primary practice located at 349 N Main St , Andover MA 01810-2687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Desiato, Joseph William can be contacted via phone (978) 475-0300.

Contact Information

Primary practice address
349 N Main St Andover MA 01810-2687
Phone: (978) 475-0300
Fax: (978) 475-3279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55584 Massachusetts

Profile Details

NPI number 1356435366
LBN Legal business name Desiato, Joseph William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356435366 NPPES
Massachusetts MEDICAID 3010929

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