Derosa Facial Plastic Surgery PC
Otolaryngology, Plastic Surgery within the Head & Neck in Boston, Massachusetts
1164867479- Practice location
- 91 Newbury St, Suite 300, Boston, MA 02116-3084
- Phone
- 617-262-8000
- Fax
- 617-262-8002
- Last updated
- October 15, 2014
Derosa Facial Plastic Surgery PC is a healthcare organization based in Boston, MA. Derosa Facial Plastic Surgery PC practices in Boston, MA. The NPI Number for Derosa Facial Plastic Surgery PC is 1164867479 and holds a License No. 237016 (MA). The current practice location address for Derosa Facial Plastic Surgery PC is 91 Newbury St, Suite 300, Boston, MA 02116-3084 and can be reached out via phone at 617-262-8000 and via fax at 617-262-8002.
Provider Profile Details
- NPI Number
- 1164867479
- Provider Name
- Derosa Facial Plastic Surgery PC
- Provider Entity Type
- Organization
- Address
- 91 Newbury St, Suite 300, Boston, MA 02116-3084
- Phone Number
- 617-262-8000
- Fax Number
- 617-262-8002
- Primary Taxonomy
- Otolaryngology, Plastic Surgery within the Head & Neck · 207YX0007X
- Organization Subpart
- No
- Authorized Official
- Dr. Jaimie Derosa, MD · President · 617-262-8000
- Other Names
- Derosa Clinic (Doing Business As)
- Provider Enumeration Date
- May 1, 2013
- Last Update Date
- October 15, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 91 Newbury St
Suite 300
Boston, MA 02116-3084 - City
- Boston
- State
- Massachusetts
- Zip
- 02116-3084
- Phone Number
- 617-262-8000
- Fax Number
- 617-262-8002
Provider Business Mailing Address Details
- Address
- 91 Newbury St
Suite 300
Boston, MA 02116-3084 - City
- Boston
- State
- MA
- Zip
- 02116-3084
- Phone Number
- 617-262-8000
- Fax Number
- 617-262-8002
License Information
- License Number
- 237016
- License State
- MA
- Taxonomy
- Otolaryngology, Plastic Surgery within the Head & Neck · 207YX0007X · 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 Derosa Facial Plastic Surgery PC?
The NPI number of Derosa Facial Plastic Surgery PC is 1164867479. It was assigned on May 1, 2013 and is currently active in the NPPES registry.
What is the specialty of Derosa Facial Plastic Surgery PC?
Derosa Facial Plastic Surgery PC is registered under the primary taxonomy Otolaryngology, Plastic Surgery within the Head & Neck (code 207YX0007X), licensed in MA under license number 237016.
Where does Derosa Facial Plastic Surgery PC practice?
The practice location is 91 Newbury St, Suite 300, Boston, MA 02116-3084. The office can be reached at 617-262-8000 (phone) or 617-262-8002 (fax).
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 1164867479 directly on the NPPES registry website.