Individual
DEMIAN G MOUSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
116 BELMONT ST RM 34, WORCESTER, MA 01605-2964
(508) 713-6063
Mailing address
116 BELMONT ST RM 34, WORCESTER, MA 01605-2964
(508) 713-6063
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
210988
MA
208VP0014X
Interventional Pain Medicine Physician
Primary
210988
MA
Other
Enumeration date
05/01/2006
Last updated
06/04/2019
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