Derosa Clinic
LBN: Derosa Facial Plastic Surgery Pc
Derosa Clinic is an health care organization with primary practice located at 91 Newbury St Suite 300, Boston MA 02116-3084. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as the primary health care specialty.
Derosa Facial Plastic Surgery Pc can be contacted via phone (617) 262-8000, or through Derosa, Jaimie via phone (617) 262-8000.
Contact Information
Primary practice address
91 Newbury St Suite 300
Boston MA 02116-3084
Phone: (617) 262-8000
Fax: (617) 262-8002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 237016 | Massachusetts |
Profile Details
| NPI number | 1164867479 |
|---|---|
| LBN Legal business name | Derosa Facial Plastic Surgery Pc |
| DBA Doing business as | Derosa Clinic |
| Authorized official | Derosa, Jaimie Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2013 |
| Last updated | Oct 15th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164867479 | NPPES |
| Other | 0032529 | MEDICARE GROUP PTAN | |
| Other | 000755302 | MEDICARE GROUP PTAN |
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