Individual
ERIK P. DEEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 WASHINGTON STREET, BRIGHTON, MA 02135
(617) 789-3000
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
216459
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036154740
STATE LICENSE
IL
01
—
13302318-1235
LICENSE
UT
01
—
20633
LICENSE
NH
01
—
23517
LICENSE
NV
01
—
2860-320
LICENSE
WI
01
—
35C.000513
LICENSE
OH
01
—
54589
LICENSE
KY
01
—
62840
LICENSE
TN
01
—
72462
STATE LICENSE
CT
01
—
87614
STATE LICENSE
GA
01
—
MD.46048
STATE LICENSE
AL
01
—
S9870
LICENSE
TX
01
—
TPME756
STATE LICENSE
FL
Enumeration date
06/02/2006
Last updated
11/19/2025
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