Individual
DR. MICHAEL DEMELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 PARK STREET, ATTLEBORO, MA 02703
(508) 236-7020
Mailing address
10 FAIRWAY DRIVE, CUMBERLAND, RI 02864
(401) 405-0627
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
220442
MA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
220442
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2093448
—
MA
Enumeration date
03/22/2006
Last updated
11/17/2022
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