Organization
DEMOS DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PETER DEMOS MD (OWNER)
(786) 397-3460
Entity
Organization
Contact information
Practice address
673 MAIN ST, WEST SPRINGFIELD, MA 01089-3958
(413) 739-6611
(413) 733-1059
Mailing address
673 MAIN ST, WEST SPRINGFIELD, MA 01089-3958
(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
—
110198756A
—
MA
Enumeration date
10/04/2022
Last updated
09/19/2025
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