Individual
DR. PETER T DEMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 LIBERTY ST, STE 403, SPRINGFIELD, MA 01103-1109
(413) 739-6611
Mailing address
125 LIBERTY ST, STE 403, SPRINGFIELD, MA 01103-1109
(413) 739-6611
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
58416
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11753
HNE PROVIDER NUMBER
MA
01
—
725076
TUFTS PROVIDER NUMBER
MA
01
—
J06761
PROVIDER NUMBER
MA
Enumeration date
07/22/2005
Last updated
12/25/2021
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