Desillier, Elena Adriana

Desillier, Elena Adriana is an individual health care provider with primary practice located at 736 Cambridge St Dept. Anesthesiology & Pain Medicine, Brighton MA 02135-2907. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Desillier, Elena Adriana can be contacted via phone (617) 789-2777.

Contact Information

Primary practice address
736 Cambridge St Dept. Anesthesiology & Pain Medicine Brighton MA 02135-2907
Phone: (617) 789-2777
Fax: (617) 562-5415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 224058 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 224058 Massachusetts
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 224058 Massachusetts

Profile Details

NPI number 1548365554
LBN Legal business name Desillier, Elena Adriana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548365554 NPPES
Massachusetts MEDICAID 2115603

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