Individual
DONALD NICHOLAS DISALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY, BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115
(617) 732-6280
Mailing address
75 FRANCIS ST, RADIOLOGY, BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115
(617) 732-6280
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
56193
MA
2085U0001X
Diagnostic Ultrasound Physician
Primary
56193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056193
TUFTS HEALTH CARE
MA
05
—
3007031
—
MA
01
—
J08540
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
01/10/2006
Last updated
08/08/2012
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