Individual provider · Type 1 NPI

Jaimie Derosa, MD

Facial Plastic Surgery Physician · Boston, MA

NPI number 1023057031 Active

Practice location

91 Newbury St, Suite 300
Boston, MA 02116-3084

Call (617) 262-8000 Map

Fax (617) 262-8002

Specialties and licenses

TaxonomyCodeLicense
Facial Plastic Surgery Physician Primary 207YS0123X237016 (MA)
Otolaryngology Physician 207Y00000X237016 (MA)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

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About NPI 1023057031

Jaimie Derosa, MD's National Provider Identifier is 1023057031, issued on Jun 5, 2006. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Boston, MA. The record was last updated on May 24, 2013.