Individual
DONNA DESOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 771-1800
Mailing address
110 MAIN ST, UNIT B, HYANNIS, MA 02601-3145
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
260753-1
NY
207L00000X
Anesthesiology Physician
262029
MA
207L00000X
Anesthesiology Physician
Primary
OT012757
PA
Other
Enumeration date
03/31/2009
Last updated
06/30/2015
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