Individual
DEMETRIOS CARELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
378 MAPLE AVE, SHREWSBURY, MA 01545-2675
(508) 595-2513
(508) 595-2021
Mailing address
378 MAPLE AVE, SHREWSBURY, MA 01545-2675
(508) 595-2513
(508) 595-2021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100323
MA
363AM0700X
Medical Physician Assistant
MA062999
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110212481A
—
MA
Enumeration date
09/23/2021
Last updated
12/19/2024
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