Individual
DR. MICHELE R DEMUSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6565 N CHARLES ST STE 203, BALTIMORE, MD 21204-5805
(443) 849-3760
(443) 849-8138
Mailing address
PO BOX 418953, BOSTON, MA 02241-3953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D50893
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786300400
—
MD
01
—
KJ15GB/54760101
CAREFIRST MARYLAND GBMC
MD
01
—
S1380002
CAREFIRST REGIONAL GBMC
MD
Enumeration date
06/08/2006
Last updated
11/17/2011
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