Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaimie Derosa, MD

Individual provider Facial Plastic Surgery Physician · NPI 1023057031

Jaimie Derosa, MD is a Facial Plastic Surgery Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

91 Newbury St Ste 300
Boston, MA 02116-3084
Phone: (617) 262-8000
Fax: (617) 262-8002
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Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 237016 (MA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 237016 (MA)

Record details

NPI number1023057031
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESMay 24, 2013
Mailing address91 Newbury St, Suite 300, Boston, MA 02116-3084

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