Individual
DR. STEPHEN M DESIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 SUMMER ST, SUITE 520, WORCESTER, MA 01608-1216
(508) 363-6363
(508) 363-6366
Mailing address
23A CASTLE RD, NORTHBOROUGH, MA 01532-1248
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
80965
MA
207X00000X
Orthopaedic Surgery Physician
80965
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
80965
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3137724
—
MA
01
—
NX2837
PTAN
MA
Enumeration date
10/11/2005
Last updated
05/19/2025
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