Individual
JAMES RAY DEMICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MORSE STREET, BRIGHAM AND WOMENS AT NORWOOD, NORWOOD, MA 02062
(781) 440-3700
Mailing address
111 CYPRESS ST, BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION, BROOKLINE, MA 02445
(617) 582-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43000
MA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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