Doctor Name: | ELENA ADRIANA DESILLIER |
NPI Number: | 1548365554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 224058 |
Business Practice Address: | 736 Cambridge St Dept. Anesthesiology & Pain Medicine Brighton, MA - 021352907 |
Business Phone Number: | 6177892777 |
Business Fax Number: | 6175625415 |
Mailing Address: | 77 Warren St Fl 3, BRIGHTON |
State: | MA |
Postal Code: | 021353601 |
Phone Number: | 6175625485 |
Fax Number: | 6175625415 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 08/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 224058 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |