Individual
DR. JESSE AFFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 NORTH ST STE A, HYANNIS, MA 02601-3825
(508) 568-3761
(508) 775-2352
Mailing address
PO BOX 64664, BALTIMORE, MD 21264-4664
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
247176
MA
Other
Enumeration date
04/07/2009
Last updated
09/08/2017
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