Individual
DR. MARY SHEILA DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
43445
MA
208000000X
Pediatrics Physician
Primary
MD44834
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146609
—
MA
01
—
043445
TUFTS HEALTH PLAN
MA
01
—
N01846
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
10/15/2020
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