Individual
DR. JOANNA IRIS AVENA DEPASUPIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 FOREST RIDGE RD APT 233, DERRY, NH 03038-6126
(603) 553-6753
Mailing address
3 FOREST RIDGE RD APT 233, DERRY, NH 03038-6126
(603) 553-6753
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
331657
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/16/2026
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