Individual
DAVID DEMASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6793
Mailing address
PO BOX 845628, BOSTON, MA 02284-5628
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
43777
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124966
—
MA
05
—
1098695
—
NY
05
—
30002847
—
NH
05
—
DD03666
—
RI
Enumeration date
02/16/2006
Last updated
07/14/2014
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