Mr. Michael J Desavage, MED
Specialist/Technologist, Athletic Trainer in Worcester, Massachusetts
1043247356- Practice location
- 100 Institute RD, Worcester, MA 01609
- Phone
- 508-831-5733
- Fax
- —
- Last updated
- July 8, 2007
Michael James Desavage is a Specialist/Technologist, Athletic Trainer based in Worcester, MA. Michael James Desavage practices in Worcester, MA and has the professional credentials of MED. The NPI Number for Michael James Desavage is 1043247356 and holds a License No. 727 (MA). The current practice location address for Michael James Desavage is 100 Institute RD, Worcester, MA 01609 and can be reached out via phone at 508-831-5733.
Provider Profile Details
- NPI Number
- 1043247356
- Provider Name
- Michael James Desavage
- Credential
- MED
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Institute RD, Worcester, MA 01609
- Phone Number
- 508-831-5733
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Institute RD
Worcester, MA 01609 - City
- Worcester
- State
- Massachusetts
- Zip
- 01609
- Phone Number
- 508-831-5733
Provider Business Mailing Address Details
- Address
- 15 Chatanika Ave
Worcester, MA 01602 - City
- Worcester
- State
- MA
- Zip
- 01602
- Phone Number
- 508-397-7786
License Information
- License Number
- 727
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Michael J Desavage, MED?
The NPI number of Mr. Michael J Desavage, MED is 1043247356. It was assigned on June 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Michael J Desavage, MED?
Mr. Michael J Desavage, MED is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 727.
Where does Mr. Michael J Desavage, MED practice?
The practice location is 100 Institute RD, Worcester, MA 01609. The office can be reached at 508-831-5733 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043247356 directly on the NPPES registry website.