DEROSA FACIAL PLASTIC SURGERY PC NPI 1164867479

NPI Details

DEROSA FACIAL PLASTIC SURGERY PC is a plastic surgery within the head and neck otolaryngology in Boston, MA. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. DEROSA FACIAL PLASTIC SURGERY PC NPI is 1164867479. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Derosa Clinic.

The provider's business location address is:

91 NEWBURY ST
SUITE 300
BOSTON, MA
ZIP 02116-084
Phone: (617) 262-8000
Fax: (617) 262-8002

The provider's authorized official is Jaimie Derosa .
The authorized official title is President and has the following contact phone number (617) 262-8000.

The enumeration date for this NPI number is 5/1/2013 and was last updated on 10/15/2014.

Taxonomy Codes

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