Organization
PETER T DEMOS MD
Active
Other names
DEMOS DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DEMOS MD (MANAGER)
(413) 739-6611
Entity
Organization
Contact information
Practice address
125 LIBERTY ST STE 403, SPRINGFIELD, MA 01103-1109
(413) 739-6611
(413) 733-1059
Mailing address
125 LIBERTY ST STE 403, SPRINGFIELD, MA 01103-1109
(413) 739-6611
(413) 733-1059
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110161707A
—
MA
Enumeration date
07/08/2020
Last updated
10/25/2022
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