IndividualActive
Jaimie Derosa, M.D.
NPI 1023057031 · Facial Plastic Surgery Physician · Boston, MA
Provider details
- NPI number
- 1023057031
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 237016 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
91 Newbury St
Suite 300
Boston, MA 02116-3084
Phone: (617) 262-8000
Fax: (617) 262-8002
Approximate (ZIP-level) locationGet directions
Mailing address
91 Newbury St
Boston, MA 02116-3084
Registry dates
- Enumerated
- 2006-06-05
- Last updated
- 2013-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.