Individual
ELIZABETH R. DEGRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
33 LYMAN ST, WESTBOROUGH, MA 01581-1404
(508) 898-0055
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
265174
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110103016A
—
MA
Enumeration date
06/18/2011
Last updated
11/22/2020
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