Individual
MS. FAITH DECESARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
77 W. MAIN ST., HOPKINTON, MA 01748
(508) 435-5506
(508) 497-5079
Mailing address
77 WEST MAIN ST, HOPKINTON, MA 01748
(508) 435-5506
(508) 497-5079
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
182923
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP9979
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/25/2006
Last updated
10/28/2009
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