Organization
JOSEPH W. DESIATO, M.D. PC
Active
Other names
Community Pediatric of Andover
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W DESIATO M.D. (PRESIDENT)
(978) 475-0300
Entity
Organization
Contact information
Practice address
349 N MAIN ST, ANDOVER, MA 01810-2687
(978) 475-0300
Mailing address
349 N MAIN ST, ANDOVER, MA 01810-2687
(978) 475-0300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55584
MA
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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