Individual
DR. VERONICA O DEYESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
261 SOUTH ST, PITTSFIELD, MA 01201
(413) 443-9082
(413) 443-0361
Mailing address
261 SOUTH ST, PITTSFIELD, MA 01201-6810
(413) 443-9082
(413) 443-0361
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
50760
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110064823A
—
MA
05
—
6181015
—
MA
05
—
7100461120
—
KY
01
—
TP806
KY LICENSE
KY
Enumeration date
09/25/2006
Last updated
06/19/2017
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