Individual
JOHN E DE PERSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 PROSPECT ST, NASHUA, NH 03060-3925
(603) 577-2000
Mailing address
195 N HARBOR DR APT 3609, CHICAGO, IL 60601-7534
(216) 575-4839
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01048377
IN
2085R0202X
Diagnostic Radiology Physician
25MA11511500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200172190
—
IN
Enumeration date
07/13/2006
Last updated
08/11/2022
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