Provider Demographics
NPI:1760286959
Name:DESJARDIN, SILVANA ALVES
Entity type:Individual
Prefix:MRS
First Name:SILVANA
Middle Name:ALVES
Last Name:DESJARDIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 FARM RD
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1162
Mailing Address - Country:US
Mailing Address - Phone:617-304-8411
Mailing Address - Fax:617-304-8411
Practice Address - Street 1:19 FARM RD
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1162
Practice Address - Country:US
Practice Address - Phone:617-304-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter