NPI 1023057031

Jaimie Derosa, MD

Practitioner Facial Plastic Surgery Physician Boston, MA

Practice location

Address: 91 Newbury St Suite 300, Boston, MA 02116-3084
Phone: (617) 262-8000
Fax: (617) 262-8002

Registered specialties (2)

Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YS0123X Licence 237016 (MA)

Other Otolaryngology providers in Massachusetts →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 237016 (MA)

Registry record

NPI: 1023057031
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2006
Record last updated: 24 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.