Provider Demographics
NPI:1043205230
Name:DESIO, DONALD JAMES (MD)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:JAMES
Last Name:DESIO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 FRONT ST
Mailing Address - Street 2:12TH FL
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608
Mailing Address - Country:US
Mailing Address - Phone:508-368-5510
Mailing Address - Fax:508-368-5530
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:SUITE 150 S
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608
Practice Address - Country:US
Practice Address - Phone:508-368-3110
Practice Address - Fax:508-368-3113
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2007-10-27
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Provider Licenses
StateLicense IDTaxonomies
NY217435207V00000X
MA232914207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology