Individual
DR. JOSEPH WILLIAM DESIATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
349 N MAIN ST, ANDOVER, MA 01810-2687
(978) 475-0300
(978) 475-3279
Mailing address
349 N MAIN ST, ANDOVER, MA 01810-2687
(978) 475-0300
(978) 475-3279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55584
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3010929
—
MA
Enumeration date
10/03/2006
Last updated
07/09/2007
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