Individual
RICHARD D DEMOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 MILL ROAD, 2ND FLOOR, FAIRHAVEN, MA 02719-5208
(508) 973-2204
(508) 973-2640
Mailing address
200 MILL ROAD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
79175
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110055380A
—
MA
Enumeration date
03/21/2006
Last updated
02/10/2016
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