Derosa Facial Plastic Surgery PC
NPI #1164867479 in Boston, Massachusetts
Provider Information
- NPI Number
- 1164867479
- Entity Type
- Organization
- Organization Name
- Derosa Facial Plastic Surgery PC
- Primary Specialty
- Otolaryngology - Plastic Surgery within the Head & Neck
- Enumeration Date
- May 1, 2013
- Last Updated
- Oct 15, 2014
Practice Location
- Address
- 91 NEWBURY ST
- Address 2
- SUITE 300
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02116-3084
- Phone
- (617) 262-8000
Authorized Official
- Name
- DR. JAIMIE DEROSA, MD
- Title
- PRESIDENT
- Phone
- (617) 262-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology - Plastic Surgery within the Head & Neck — Plastic Surgery within the Head & Neck |
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