Individual
DR. GEORGE D DEMETRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, DFCI, D1212, BOSTON, MA 02215-5418
(617) 632-3985
(617) 632-3408
Mailing address
450 BROOKLINE AVE, DFCI, D1212, BOSTON, MA 02215-5418
(617) 632-3985
(617) 632-3408
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
55911
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055911
TUFTS
—
01
—
2064098
AETNA US HEALTHCARE
—
01
—
3121097
MASSHEALTH
—
01
—
42730
FALLON COMMUNITY HEALTH P
—
01
—
5238043
CIGNA
—
01
—
E45070DF
HPHC
—
Enumeration date
03/07/2006
Last updated
12/06/2011
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