Individual
DIANNE K DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 756-6324
Mailing address
390 MAIN ST STE 509, WORCESTER, MA 01608-2581
(508) 756-6324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1183
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
THREE RIVERS
—
01
—
381306
MVP HEALTH CARE
—
01
—
42523
CHILDRENS MEDICAL SECURIT
—
01
—
67868
FALLON COMMUNITY HEALTH P
—
01
—
8301692
EVERCARE
—
01
—
AP2101
MEDICARE B
—
Enumeration date
05/15/2006
Last updated
04/24/2015
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