Individual provider · Type 1 NPI

Deepanwita Prusty, MD PHD

Specialist · South Weymouth, MA

NPI number 1861473514 Active

Practice location

544 Main St Lowr Level
South Weymouth, MA 02190-1818

Call (339) 201-4053 Map

Fax (781) 871-3425

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X214928 (MA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1861473514

Deepanwita Prusty, MD PHD's National Provider Identifier is 1861473514, issued on Nov 9, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Weymouth, MA. The record was last updated on Oct 23, 2025.