Individual
ANDREW J DEMAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 TOR CT, PAIN CENTER, PITTSFIELD, MA 01201-3001
(413) 445-7246
(413) 445-7731
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201
(413) 447-2752
(413) 496-6836
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
218719
MA
208100000X
Physical Medicine & Rehabilitation Physician
225796
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060957
—
MA
Enumeration date
05/22/2006
Last updated
03/03/2010
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