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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356435366 | NPPES |
| Massachusetts | MEDICAID | 3010929 |
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