Individual
DEMETRI UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 WASHINGTON ST, BOSTON, MA 02118-3380
(617) 369-1550
Mailing address
1640 WASHINGTON ST, BOSTON, MA 02118-3380
(617) 369-1550
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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